CT abdomen and pelvis with contrast at Story County Medical Center. CPT 74177.
What Story County Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$3,784cash price (self-pay)
$4,730list price
$2,885–$3,264range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare | $2,885 |
| Health Partners | Commercial | $3,264 |
Inpatient
$3,784cash price (self-pay)
$4,730list price
$3,263–$4,730range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Commercial | $3,264 |
| UHC | Commercial | $3,595 |
| Aetna | Medicare | $3,614 |
| Blue Cross | Medicare | $3,614 |
| Health Partners | Medicare | $3,614 |
| Humana | Medicare | $3,614 |
| UHC | Medicare | $3,614 |
| Wellpoint | Medicare | $3,614 |
| Blue Cross | HMO | $4,115 |
| Blue Cross | PPO | $4,115 |
| Aetna-Coventry | Commercial | $4,588 |
| IOWA Total Care | Medicaid | $4,730 |
| Molina Healthcare | Medicaid | $4,730 |
| Wellpoint | Medicaid | $4,730 |
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