CT abdomen and pelvis with contrast at Midwest Medical Center. CPT 74177.
What Midwest Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,270cash price (self-pay)
$4,692list price
$2,496–$6,785range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HFN Inc. | Workers' Compensation PPO | $2,496 |
| UHC | Commercial | $3,003 |
| Employer Health Care | Alliance Cooperative | $3,028 |
| Medical Associates | MAHP | $3,050 |
| Health Alliance Medical Plans Inc | Medicare Plans | $3,285 |
| Humana | Medicare Advantage | $3,285 |
| Humana | Commercial Services | $3,285 |
| Quartz Health Solutions Inc | Senior Preferred | $3,285 |
| Quartz Health Solutions Inc | Fully Insured | $3,519 |
| Quartz Health Solutions Inc | Self Insured | $3,519 |
| Aetna Illinois | Gated Health | $3,754 |
| Aetna Illinois | Non-Gated Health | $3,754 |
| Aetna Illinois | Government Programs | $3,754 |
| Aetna Illinois | Workers' Compensation | $3,754 |
| Dean Health | Badgercare Plus | $3,754 |
| HFN Inc. | Group Health EPO-PPO | $3,754 |
| Medical Associates | HMO | $3,824 |
| Medical Associates | Preffered Health Choices LLC | $3,824 |
| Medical Associates | Health Plan of Wisconsin HMO | $4,223 |
| Medical Associates | Health Plan of Wisconsin MAHP | $4,223 |
| Blue Cross Blue Shield of Illinois | PPO | $4,458 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $4,458 |
Inpatient
$4,270cash price (self-pay)
$4,692list price
$3,003–$6,785range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Commercial | $3,003 |
| Employer Health Care | Alliance Cooperative | $3,028 |
| Medical Associates | MAHP | $3,050 |
| Quartz Health Solutions Inc | Fully Insured | $3,519 |
| Quartz Health Solutions Inc | Self Insured | $3,519 |
| Aetna Illinois | Gated Health | $3,754 |
| Aetna Illinois | Non-Gated Health | $3,754 |
| Aetna Illinois | Government Programs | $3,754 |
| Aetna Illinois | Workers' Compensation | $3,754 |
| Dean Health | Badgercare Plus | $3,754 |
| HFN Inc. | Group Health EPO-PPO | $3,754 |
| Medical Associates | HMO | $3,824 |
| Medical Associates | Preffered Health Choices LLC | $3,824 |
| Medical Associates | Health Plan of Wisconsin HMO | $4,223 |
| Medical Associates | Health Plan of Wisconsin MAHP | $4,223 |
| Blue Cross Blue Shield of Illinois | PPO | $4,458 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $4,458 |
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