CT abdomen and pelvis with contrast at Iowa Specialty Hospital Clarion. CPT 74177.
What Iowa Specialty Hospital Clarion publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$161cash price (self-pay)
$2,817list price
$79.83–$5,205range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark HMO | Wellmark HMO | $521 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $575 |
| Tricare - All Plans | Tricare - All Plans | $872 |
| Triwest Va - All Plans | Triwest Va - All Plans | $872 |
| Healthscope Stellar-All Plans | Healthscope Stellar-All Plans | $1,482 |
| Auxiant Clarion Schools-All Plans | Auxiant Clarion Schools-All Plans | $1,831 |
| Health Partners Prestage | Health Partners Prestage | $2,113 |
| Health Partners Ish-All Other Plans | Health Partners Ish-All Other Pl | $2,223 |
| Aetna/Coventry Comm - All Plans | Aetna/Coventry Comm - All Plans | $2,325 |
| UHC Comm-All Plans | UHC Comm-All Plans | $2,665 |
| Cigna - All Plans | Cigna - All Plans | $2,938 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $2,938 |
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