CT abdomen and pelvis with contrast at Humboldt County Memorial Hospital. CPT 74177.
What Humboldt County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$2,700cash price (self-pay)
$3,000list price
$2,100–$3,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| GREAT WEST | Plans | $2,100 |
| AETNA | Medicare | $2,130 |
| HEALTH PARTNERS | Medicare | $2,130 |
| PHYSICIANS MUTUAL | Plans | $2,160 |
| AETNA | Commercial | $2,250 |
| CIGNA | Commercial | $2,250 |
| PHCS | Plans | $2,250 |
| HUMANA | Medicare | $2,335 |
| IOWA HEALTH | Medicare | $2,335 |
| DEANHEALTH | Plan | $2,400 |
| HEALTH PARTNERS | Commercial | $2,400 |
| HUMANA | Commercial | $2,550 |
| Wellpoint | Medicare | $2,880 |
| IOWA TOTAL CARE | Medicaid | $3,000 |
| Wellpoint | Medicaid | $3,000 |
Inpatient
$2,700cash price (self-pay)
$3,000list price
$2,100–$3,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| GREAT WEST | Plans | $2,100 |
| AETNA | Medicare | $2,130 |
| HEALTH PARTNERS | Medicare | $2,130 |
| PHYSICIANS MUTUAL | Plans | $2,160 |
| AETNA | Commercial | $2,250 |
| CIGNA | Commercial | $2,250 |
| PHCS | Plans | $2,250 |
| BLUE CROSS | Medicare | $2,335 |
| HUMANA | Medicare | $2,335 |
| IOWA HEALTH | Medicare | $2,335 |
| Molina | Medicare | $2,335 |
| DEANHEALTH | Plan | $2,400 |
| HEALTH PARTNERS | Commercial | $2,400 |
| HUMANA | Commercial | $2,550 |
| BLUE CROSS | Commercial | $2,610 |
| UHC | Commercial | $2,880 |
| UHC | Medicare | $2,880 |
| Wellpoint | Medicare | $2,880 |
| IOWA TOTAL CARE | Medicaid | $3,000 |
| Molina | Medicaid | $3,000 |
| Wellpoint | Medicaid | $3,000 |
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