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CT abdomen and pelvis with contrast at Washington County Hospital And Clinics. CPT 74177.

What Washington County Hospital And Clinics publishes for this service, straight from its standard-charges file, last updated September 8, 2026.

Outpatient / ER

$2,512cash price (self-pay)
$3,349list price
$171–$3,182range insurers pay
Insurance planNegotiated rate
Ia Total Care Ambetter Hlth Comm- All Other Plans | Ia Total Care Ambe$171
Aetna/First Health HMO | Aetna/First Health HMO$264
Midlands Choice - All Plans | Midlands Choice - All Plans$267
Anthem Wellmark HMO/Value Hlth | Anthem Wellmark HMO/Value Hlth$834
Anthem Wellmark PPO Indemnity - All Other Plans | Anthem Wellmark PPO $916
Aetna Mcr Adv | Aetna Mcr Adv$1,239
Health Alliance Mcr Adv | Health Alliance Mcr Adv$1,340
Med Assoc Mcr Adv | Med Assoc Mcr Adv$1,340
Anthem Wellmark Mcr Adv | Anthem Wellmark Mcr Adv$1,353
Healthpartners Mcr Adv | Healthpartners Mcr Adv$1,366
Humana Choicecare Mcr Adv - All Plans | Humana Choicecare Mcr Adv - Al$1,366
Ia Total Care Wellcare Mcr Adv | Ia Total Care Wellcare Mcr Adv$1,380
Molina Mcr Adv - All Other Plans | Molina Mcr Adv - All Other Plans$1,380
Wellpoint Mcr Adv Amerigrp - All Other Plans | Wellpoint Mcr Adv Ameri$1,380
Molina Medicaid | Molina Medicaid$1,407
Wellpoint Mcaid Amerigrp | Wellpoint Mcaid Amerigrp$1,407
Ia Total Care Mcaid | Ia Total Care Mcaid$1,407
Healthpartners - All Other Plans | Healthpartners - All Other Plans$2,847
Aetna/First Health PPO - All Other Plans | Aetna/First Health PPO - Al$2,947
Health Alliance Comm - All Other Plans | Health Alliance Comm - All Ot$3,182
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All common services at Washington County Hospital And Clinics