CT abdomen and pelvis with contrast at Greene County Medical Center. CPT 74177.
What Greene County Medical Center publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$2,473cash price (self-pay)
$4,416list price
$2,296–$4,284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter Health | Medicare Advantage | $2,296 |
| Health Alliance | Medicare Advantage | $2,296 |
| HealthPartners | Medicare Advantage | $2,296 |
| Molina | Medicare Advantage | $2,296 |
| Wellcare | Medicare Advantage | $2,296 |
| Health Alliance | HMO | $4,195 |
| Health Alliance | PPO | $4,195 |
| Humana Choice | Commercial | $4,195 |
| Midlands Choice | PPO | $4,284 |
Inpatient
$2,473cash price (self-pay)
$4,416list price
$2,737–$4,416range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial | $2,738 |
| HealthPartners | Commercial | $3,224 |
| Health Alliance | HMO | $4,195 |
| Health Alliance | PPO | $4,195 |
| Humana Choice | Commercial | $4,195 |
| Midlands Choice | PPO | $4,284 |
| Aetna | Medicare Advantage | $4,416 |
| Ambetter Health | Medicare Advantage | $4,416 |
| Health Alliance | Medicare Advantage | $4,416 |
| HealthPartners | Medicare Advantage | $4,416 |
| Humana Choice | Medicare Advantage | $4,416 |
| Iowa Total Care | Medicaid | $4,416 |
| Molina | Medicaid | $4,416 |
| Molina | Medicare Advantage | $4,416 |
| UnitedHealthcare | Medicare Advantage | $4,416 |
| Wellcare | Medicare Advantage | $4,416 |
| Wellmark | Medicare Advantage | $4,416 |
| Wellpoint | Iowa Medicaid | $4,416 |
| Wellpoint | Medicare Advantage | $4,416 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.