CT abdomen and pelvis with contrast at UnityPoint Health - Jones Regional Medical Center. CPT 74177.
What UnityPoint Health - Jones Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$162cash price (self-pay)
$680list price
$79.84–$5,822range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $235 |
| Amerivantage | Medicare Advantage | $235 |
| Humana | Medicare Advantage | $235 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $240 |
| Iowa Health | Medicare Advantage | $247 |
| United Healthcare | Medicare Advantage | $247 |
| United Healthcare | HMO | $340 |
| United Healthcare | PPO | $340 |
| Wellmark Blue Cross and Blue Shield | HMO | $424 |
| Wellmark UPH Self-Funded | Commercial | $424 |
| Wellmark Blue Cross and Blue Shield | PPO | $499 |
| Cigna/Midlands | Commercial | $510 |
| Health Partners Open Network | Commercial | $559 |
| Aetna | HMO | $629 |
| Aetna | PPO | $743 |
| Amerigroup | Managed Medicaid | $2,872 |
| Iowa Total Care | Managed Medicaid | $2,872 |
| Medica Exchange Inspire | Commercial | $5,169 |
| Medica Exchange Insure | Commercial | $5,789 |
Inpatient
$5,222cash price (self-pay)
$6,527list price
$3,263–$6,527range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners Open Network | Commercial | $3,263 |
| Wellmark Blue Cross and Blue Shield | HMO | $3,329 |
| Wellmark Blue Cross and Blue Shield | PPO | $3,329 |
| Wellmark UPH Self-Funded | Commercial | $3,329 |
| Cigna/Midlands | Commercial | $5,365 |
| Aetna | HMO | $5,874 |
| Aetna | PPO | $5,874 |
| United Healthcare | PPO | $6,527 |
| United Healthcare | HMO | $6,527 |
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All common services at UnityPoint Health - Jones Regional Medical Center