CT abdomen and pelvis with contrast at MercyOne Dubuque Medical Center. CPT 74177.
What MercyOne Dubuque Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,597cash price (self-pay)
$5,534list price
$313–$5,534range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Iowa Total Care Medicaid | $313 |
| Molina Medicaid | Molina Medicaid | $316 |
| Wellpoint Medicaid | Wellpoint Medicaid | $317 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $340 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $340 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $340 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $343 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $347 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $350 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $354 |
| Amish Hospital Aid | Amish Hospital Aid | $461 |
| Oscar | Oscar | $473 |
| Centivo | Centivo | $543 |
| Ambetter | Ambetter Marketplace | $583 |
| Claimdoc | Claimdoc | $697 |
| Nova | Claimdoc | $697 |
| Geha | United Healthcare | $829 |
| United Healthcare | United Healthcare | $829 |
| Preferred Health Choice | Preferred Health Choices | $1,976 |
| Health Choices | Medical Associates | $2,025 |
| Midlands Choice | Midlands Choice Eagle Window And Door | $3,210 |
| Wps | Wisconsin Physician Services | $3,315 |
| The Alliance | The Alliance | $3,343 |
| Mhnet | Mental Health Associates | $4,427 |
| Webtpa | Aetna | $4,621 |
| Medical Mutual | Aetna | $4,621 |
| Trustmark Small Business Benefits | Aetna | $4,621 |
| Meritain | Aetna | $4,621 |
| 1199 National Benefit Fund | Aetna | $4,621 |
| Lucent Health | Aetna | $4,621 |
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