CT abdomen and pelvis with contrast at MercyOne Des Moines Medical Center. CPT 74177.
What MercyOne Des Moines Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,811cash price (self-pay)
$5,863list price
$329–$5,863range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $334 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $344 |
| Blue Cross - NY (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Nm | Wellmark PPO | $356 |
| Blue Cross - Nj (Horizon) | Wellmark PPO | $356 |
| Blue Cross - Nh (Anthem) | Wellmark PPO | $356 |
| Blue Shield - Pa (Highmark) | Wellmark PPO | $356 |
| Blue Cross - Pa (Capital) | Wellmark PPO | $356 |
| Blue Cross - Or (Regence) | Wellmark PPO | $356 |
| Blue Cross - Pa (Independence) | Wellmark PPO | $356 |
| Blue Cross - Ok | Wellmark PPO | $356 |
| Blue Cross - Nc | Wellmark PPO | $356 |
| Blue Shield - NY Highmark Northeastern | Wellmark PPO | $356 |
| Blue Cross - Vt | Wellmark PPO | $356 |
| Blue Cross - Ut (Regence) | Wellmark PPO | $356 |
| Blue Cross - TX | Wellmark PPO | $356 |
| Blue Cross - Tn | Wellmark PPO | $356 |
| Blue Cross - Sc | Wellmark PPO | $356 |
| Blue Cross - Ri | Wellmark PPO | $356 |
| Blue Cross - Mo (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Ks | Wellmark PPO | $356 |
| Blue Cross - Az | Wellmark PPO | $356 |
| Blue Cross - Ak (Premera) | Wellmark PPO | $356 |
| Blue Cross - Al | Wellmark PPO | $356 |
| Blue Cross - Sd (Wellmark) | Wellmark PPO | $356 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Ne | Wellmark PPO | $356 |
| Blue Cross - Nd | Wellmark PPO | $356 |
| Blue Cross - De (Highmark) | Wellmark PPO | $356 |
| Blue Cross - Ct (Anthem) | Wellmark PPO | $356 |
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