CT abdomen and pelvis with contrast at MercyOne Elkader Medical Center. CPT 74177.
What MercyOne Elkader 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
$2,901–$5,892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $2,901 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $2,931 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $2,961 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $2,990 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $3,044 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $3,045 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $3,107 |
| Iowa Total Care | Iowa Total Care Medicaid | $3,507 |
| Molina Medicaid | Molina Medicaid | $3,559 |
| Wellpoint Medicaid | Wellpoint Medicaid | $3,576 |
| Amish Hospital Aid | Amish Hospital Aid | $3,899 |
| Coventry | Aetna | $4,149 |
| First Health | Aetna | $4,149 |
| Luminare Health | Aetna | $4,149 |
| Christian Brother Services | Aetna | $4,149 |
| Webtpa | Aetna | $4,149 |
| Medical Mutual | Aetna | $4,149 |
| Meritain | Aetna | $4,149 |
| Trustmark Small Business Benefits | Aetna | $4,149 |
| 1199 National Benefit Fund | Aetna | $4,149 |
| Aetna | Aetna | $4,149 |
| Aetna Domestic | Aetna | $4,149 |
| Asr Health Benefits | Aetna | $4,149 |
| Allied Benefit Systems | Aetna | $4,149 |
| Lucent Health | Aetna | $4,149 |
| United Healthcare | United Healthcare | $4,228 |
| Centivo | Centivo | $4,397 |
| Medical Associates | Medical Associates | $4,510 |
| Health Choices | Medical Associates | $4,510 |
| Ambetter | Ambetter Marketplace | $4,924 |
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