CT abdomen and pelvis with contrast at Mahaska Health. CPT 74177.
What Mahaska Health publishes for this service, straight from its standard-charges file, last updated September 18, 2026.
Outpatient / ER
$204cash price (self-pay)
$240list price
$79.83–$1,852range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mcr Adv | Aetna Mcr Adv | $79.83 |
| Aetna PPO - All Other Plans | Aetna PPO - All Other Plans | $79.83 |
| Amerigroup Mcr Adv | Amerigroup Mcr Adv | $79.83 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $79.83 |
| Aetna HMO | Aetna HMO | $79.83 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $79.83 |
| UHC Mcr Adv | UHC Mcr Adv | $79.83 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $82.22 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $91.80 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $184 |
| Iowa Total Care Medicaid | Iowa Total Care Medicaid | $240 |
| Amerigroup Medicaid-All Other Plans | Amerigroup Medicaid-All Other Pl | $240 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $240 |
| Wellmark HMO | Wellmark HMO | $585 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $665 |
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