CT abdomen and pelvis with contrast at Winneshiek. CPT 74177.
What Winneshiek publishes for this service, straight from its standard-charges file, last updated July 17, 2026.
Outpatient / ER
$960cash price (self-pay)
$2,499list price
$19.59–$3,518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Mn Mhcp | BCBS Mn Mhcp | $306 |
| BCBS HMO | BCBS HMO | $604 |
| BCBS PPO | BCBS PPO | $670 |
| BCBS Mn Trad Blue Plus-All Other Plans | BCBS Mn Trad Blue Plus-All Ot | $680 |
| UHC Premier - All Plans | UHC Premier - All Plans | $1,106 |
| Aetna/First Health HMO | Aetna/First Health HMO | $1,642 |
| Aetna/First Health PPO-All Other Plans | Aetna/First Health PPO-All Ot | $1,678 |
| Health Partners - All Plans | Health Partners - All Plans | $1,703 |
| Medica Mayo Clinic | Medica Mayo Clinic | $1,714 |
| Medica Ifb | Medica Ifb | $1,721 |
| Aetna/First Health Pho | Aetna/First Health Pho | $1,769 |
| Medica Mayo Health Plan - All Other Plans | Medica Mayo Health Plan - | $1,775 |
| Preferred One - All Plans | Preferred One - All Plans | $2,374 |
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