CT abdomen and pelvis with contrast at Hamilton County Public Hospital DBA Van Diest Medical Center. CPT 74177.
What Hamilton County Public Hospital DBA Van Diest Medical Center publishes for this service, straight from its standard-charges file, last updated February 5, 2026.
Outpatient / ER
$1,936cash price (self-pay)
$2,420list price
$1,089–$2,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana of IA | Commercial PPO (non PPOx)/Medicare Advantage HMO/Medica | $1,089 |
| Medical Associates | Managed Medicare | $1,089 |
| Amerigroup | Medicare | $1,100 |
| Partners Health Alliance | Commercial | $1,252 |
| Aetna of IA | Medicare | $1,379 |
| Iowa Total Care | Managed Medicaid | $1,382 |
| Amerigroup | Medicaid | $1,396 |
| Molina Healthcare | Managed Medicaid | $1,403 |
| United Healthcare | Managed Medicare | $1,428 |
| Midlands Choice | Commercial | $1,694 |
| Health Alliance-Midwest, Inc. of IA | Commercial | $1,815 |
| Medical Associates | Commercial | $1,815 |
| Aetna of IA | Commercial | $2,178 |
| Aetna of IA | Medical Rental Products | $2,178 |
| United Healthcare | Commercial | $2,178 |
Inpatient
$1,936cash price (self-pay)
$2,420list price
$1,694–$2,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | Commercial | $1,694 |
| Health Alliance-Midwest, Inc. of IA | Commercial | $1,815 |
| Medical Associates | Commercial | $1,815 |
| Aetna of IA | Commercial | $2,178 |
| Aetna of IA | Medical Rental Products | $2,178 |
| United Healthcare | Commercial | $2,178 |
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All common services at Hamilton County Public Hospital DBA Van Diest Medical Center