CT abdomen and pelvis with contrast at Crawford County Memorial Hospital. CPT 74177.
What Crawford County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 27, 2026.
Outpatient / ER
$2,991cash price (self-pay)
$3,739list price
$1,042–$3,664range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark HMO | Wellmark HMO | $1,042 |
| Wellmark PPO-All Other Plans | Wellmark PPO-All Other Plans | $1,146 |
| Amerigroup Mcr Adv-All Plans | Amerigroup Mcr Adv-All Plans | $1,608 |
| Iowa Total Care Mcaid-All Plans | Iowa Total Care Mcaid-All Plans | $1,754 |
| Sanford Health-All Plans | Sanford Health-All Plans | $2,804 |
| Multiplan-All Plans | Multiplan-All Plans | $3,552 |
| Medica Comm-All Plans | Medica Comm-All Plans | $3,627 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $3,627 |
| Avera-All Plans | Avera-All Plans | $3,627 |
| UHC Comm-All Plans | UHC Comm-All Plans | $3,664 |
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