CT abdomen and pelvis with contrast at Henry County Health Center. CPT 74177.
What Henry County Health Center publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
—cash price (self-pay)
$230list price
$66.44–$3,231range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| American Healthplan of Iowa - Midlevel | MEDICARE ADV. | $66.44 |
| Medicaid - Nurse Practitioner | MANAGED MEDICAID | $69.51 |
| Medicaid - Physician Assistant | MANAGED MEDICAID | $71.00 |
| Humana | MEDICARE ADV. | $83.52 |
| Aetna | FIRST HEALTH | $86.59 |
| American Healthplan of Iowa - MD | MEDICARE ADV. | $87.81 |
| Plain Church | ALL PRODUCTS | $150 |
| Wellmark Blue Cross - Anesthesiology | PPO | $166 |
| Wellmark Blue Cross - Pathologist | PPO | $166 |
| Wellmark Blue Cross - Physician | HMO | $166 |
| Wellmark Blue Cross - Physician Assistant | HMO | $166 |
| Wellmark Blue Cross - Physician Assistant | PPO | $166 |
| United Healthcare | ALL PRODUCTS | $167 |
| Midlands Choice | ALL PRODUCTS | $184 |
| Wellmark Blue Cross - Physician | PPO | $195 |
| Absolute Solutions | ALL PRODUCTS | $207 |
| First Agency | ALL PRODUCTS | $207 |
| Multiplan | ALL PRODUCTS | $207 |
| Henderson County | ALL PRODUCTS | $219 |
| Aetna | All Products | $272 |
| Aetna | Medicare Adv | $297 |
| Midlands Choice | All Products | $860 |
| Midlands Choice | Medicare Adv | $860 |
| Wellmark Blue Cross | HMO | $880 |
| Wellmark Blue Cross | PPO | $967 |
| United Healthcare | All Products | $1,723 |
| Iowa Total Care | All Products | $1,759 |
| Molina | Managed Medicaid | $1,960 |
| Wellpoint (Amerigroup) | Managed Medicaid | $2,010 |
| American Health Plan Of Iowa | Medicare Adv | $2,046 |
Inpatient
—cash price (self-pay)
$3,590list price
$1,723–$3,231range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | All Products | $3,231 |
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