CT abdomen and pelvis with contrast at MercyOne Dyersville Medical Center. CPT 74177.
What MercyOne Dyersville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,664cash price (self-pay)
$5,637list price
$2,131–$6,345range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choices | Medical Associates | $2,131 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $3,125 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $3,188 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $3,220 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $3,279 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $3,346 |
| The Alliance | The Alliance | $3,428 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $3,480 |
| Iowa Total Care | Iowa Total Care Medicaid | $3,910 |
| United Healthcare | United Healthcare | $3,946 |
| United Healthcare | United Healthcare Deere Premier | $3,946 |
| Geha | United Healthcare | $3,946 |
| Molina Medicaid | Molina Medicaid | $3,967 |
| Wellpoint Medicaid | Wellpoint Medicaid | $3,986 |
| Amish Hospital Aid | Amish Hospital Aid | $4,198 |
| Asr Health Benefits | Aetna | $4,662 |
| Christian Brother Services | Aetna | $4,662 |
| Coventry | Aetna | $4,662 |
| Allied Benefit Systems | Aetna | $4,662 |
| Medical Mutual | Aetna | $4,662 |
| Webtpa | Aetna | $4,662 |
| Meritain | Aetna | $4,662 |
| Trustmark Small Business Benefits | Aetna | $4,662 |
| Luminare Health | Aetna | $4,662 |
| Aetna | Aetna | $4,662 |
| First Health | Aetna | $4,662 |
| 1199 National Benefit Fund | Aetna | $4,662 |
| Aetna Eap | Aetna | $4,662 |
| Aetna Domestic | Aetna | $4,662 |
| Midlands | Midlands Choice PPO | $5,073 |
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