CT abdomen and pelvis with contrast at Pocahontas Community Hospital. CPT 74177.
What Pocahontas Community Hospital publishes for this service, straight from its standard-charges file, last updated March 29, 2026.
Outpatient / ER
$2,913cash price (self-pay)
$2,913list price
$1,620–$2,826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| IOWA TOTAL CARE | Medicaid | $1,620 |
| AETNA | Medicare | $1,748 |
| AETNA | Commercial | $2,738 |
| HEALTH PARTNERS | Commercial | $2,750 |
| HUMANA | Medicare | $2,767 |
| GREAT WEST | Commercial | $2,826 |
Inpatient
$2,913cash price (self-pay)
$2,913list price
$2,446–$2,913range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | HMO | $2,447 |
| Blue Cross | PPO | $2,447 |
| AETNA | Commercial | $2,738 |
| HEALTH PARTNERS | Commercial | $2,767 |
| Wellpoint | Medicare | $2,767 |
| UHC | Commercial | $2,796 |
| UHC | Medicare | $2,796 |
| AETNA | Medicare | $2,913 |
| BLUE CROSS | Medicare | $2,913 |
| HUMANA | Medicare | $2,913 |
| IOWA TOTAL CARE | Medicaid | $2,913 |
| Molina | Medicaid | $2,913 |
| Wellpoint | Medicaid | $2,913 |
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