CT abdomen and pelvis with contrast at Mary Greeley Medical Center. CPT 74177.
What Mary Greeley Medical Center publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$4,312cash price (self-pay)
$5,750list price
$166–$5,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Managed Medicaid | $323 |
| Iowa Total Care | Managed Medicaid | $326 |
| Molina | Managed Medicaid | $326 |
| Aetna | Medicare Advantage | $335 |
| UHC | Vaccn | $335 |
| Wellpoint | Medicare Advantage | $335 |
| Molina | Medicare Advantage | $342 |
| UHC | Medicare Advantage | $342 |
| Wellmark | Medicare Advantage | $342 |
| Humana | Medicare Advantage | $352 |
| Wellmark | HMO | $424 |
| Wellmark | PPO/Indemnity | $499 |
| Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $2,335 |
| Midlands Choice | All Products | $3,162 |
| UHC | All Products | $3,185 |
| Midlands Choice | All Products-Premier | $3,450 |
| Health Alliance | All Products | $4,025 |
| HealthPartners | HMO | $4,232 |
| Aetna | HMO | $4,887 |
| Aetna | PPO | $5,175 |
| Claritev | PPO | $5,405 |
| Araz | PPO | $5,462 |
Inpatient
$4,312cash price (self-pay)
$5,750list price
$3,162–$5,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | All Products | $3,450 |
| Midlands Choice | All Products-Premier | $4,025 |
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