CT abdomen and pelvis with contrast at MercyOne Oelwein Medical Center. CPT 74177.
What MercyOne Oelwein 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
$2,154–$5,637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $2,154 |
| Iowa Total Care | Iowa Total Care Medicaid | $2,185 |
| Molina Medicaid | Molina Medicaid | $2,217 |
| Wellpoint Medicaid | Wellpoint Medicaid | $2,228 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $2,334 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $2,357 |
| Amish Hospital Aid | Amish Hospital Aid | $3,074 |
| Centivo | Centivo | $3,467 |
| Ambetter | Ambetter Marketplace | $3,883 |
| Geha | United Healthcare | $4,002 |
| United Healthcare | United Healthcare | $4,002 |
| Medical Associates | Medical Associates | $4,149 |
| Health Choices | Medical Associates | $4,149 |
| Nova | Claimdoc | $4,645 |
| Claimdoc | Claimdoc | $4,645 |
| Medical Mutual | Aetna | $5,180 |
| Aetna Domestic | Aetna | $5,180 |
| Lucent Health | Aetna | $5,180 |
| 1199 National Benefit Fund | Aetna | $5,180 |
| First Health | Aetna | $5,180 |
| Webtpa | Aetna | $5,180 |
| Aetna Eap | Aetna | $5,180 |
| Aetna | Aetna | $5,180 |
| Christian Brother Services | Aetna | $5,180 |
| Trustmark Small Business Benefits | Aetna | $5,180 |
| Coventry | Aetna | $5,180 |
| Luminare Health | Aetna | $5,180 |
| Allied Benefit Systems | Aetna | $5,180 |
| Asr Health Benefits | Aetna | $5,180 |
| Meritain | Aetna | $5,180 |
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