CT abdomen and pelvis with contrast at Van Buren County Hospital, Keosauqua, Iowa. CPT 74177.
What Van Buren County Hospital, Keosauqua, Iowa publishes for this service, straight from its standard-charges file, last updated July 20, 2026.
Outpatient / ER
$3,532cash price (self-pay)
$5,046list price
$770–$4,945range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark BCBS HMO | Wellmark BCBS HMO | $770 |
| Wellmark BCBS PPO - All Other Plans | Wellmark BCBS PPO - All Other Pl | $848 |
| UHC Mcr Adv | UHC Mcr Adv | $2,473 |
| Aetna Mcare | Aetna Mcare | $3,229 |
| Health Partners - All Plans | Health Partners - All Plans | $3,532 |
| Oscar - All Plans | Oscar - All Plans | $3,709 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $4,289 |
| Cigna - All Plans | Cigna - All Plans | $4,895 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $4,945 |
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All common services at Van Buren County Hospital, Keosauqua, Iowa