CT abdomen and pelvis with contrast at Kossuth Regional Health Center. CPT 74177.
What Kossuth Regional Health Center publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$2,603cash price (self-pay)
$3,254list price
$396–$3,384range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Wellmark HMO | BCBS Wellmark HMO | $396 |
| BCBS Wellmark PPO - All Other Plans | BCBS Wellmark PPO - All Other Pl | $435 |
| Mercy One - All Plans | Mercy One - All Plans | $1,237 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,237 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $1,249 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $1,261 |
| UHC Mcr Adv | UHC Mcr Adv | $1,274 |
| Health Partners New Bus - All Other Plans | Health Partners New Bus - | $2,278 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $2,278 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $2,470 |
| Preferred Health - All Plans | Preferred Health - All Plans | $2,766 |
| Medical Associates - All Plans | Medical Associates - All Plans | $2,766 |
| Aetna HMO | Aetna HMO | $3,026 |
| Aetna PPO - All Other Plans | Aetna PPO - All Other Plans | $3,091 |
| Multiplan - All Plans | Multiplan - All Plans | $3,091 |
| Aetna PPO Rental | Aetna PPO Rental | $3,156 |
| Health Partners Exisiting Bus | Health Partners Exisiting Bus | $3,156 |
| Molina Mcaid/Chip - All Plans | Molina Mcaid/Chip - All Plans | $3,352 |
| Amerigroup Mcaid | Amerigroup Mcaid | $3,384 |
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