CT abdomen and pelvis with contrast at SwedishAmerican Medical Group. CPT 74177.
What SwedishAmerican Medical Group publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,251cash price (self-pay)
$7,819list price
$178–$6,990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna HMO, PPO | $267 |
| Aspirus Health Plan of Wisconsin Medicare Adv | Aspirus HMO | $267 |
| Quatz Senior Preferred Medicare | Quartz | $267 |
| United Healthcare Medicare Adv | United Healthcare | $267 |
| Community Care Medicare Adv | Community Care | $267 |
| Aetna Better Health Medicare Advantage | Aetna Better Health Dual | $267 |
| BCBS Medicare Adv | BCBS PPO | $267 |
| Health Partners Medicare Adv | Health Partners HMO | $267 |
| Humana Medicare Adv | PPO/PFFS/HMO/Dual | $267 |
| Molina Medicare Adv | HMO | $267 |
| Meridian Medicare Adv | Complete HMO Dual | $267 |
| Zing Medicare Adv | Zing Health | $267 |
| Care Wisconsin Medicare | Care WI Dual | $267 |
| Family Health Medicare | Community Care of IL | $267 |
| IlliniCare Health Dual Medicare | IlliniCare Health Dual Medicare | $267 |
| Clear Spring Medicare | Clear Spring Health of IL MC | $267 |
| Dean Medicare | Deancare | $267 |
| Medical Associates Medicare Adv | Medical Associates Medicare Adv | $267 |
| MyChoice WI Medical Adv | MyChoice WI Dual | $267 |
| Devoted Health Medicare Adv | HMO/POS/PPO | $273 |
| Provider Partners Medicare Adv | Provider Partners Health Plan | $294 |
| Quartz Fully Insured | Quartz | $1,744 |
| Ecoh | Ecoh 1 | $2,549 |
| ECOH | ECOH One Medical Home | $2,549 |
| HFN | HFN Platinum | $2,549 |
| Alliance Premier Network | Premier | $2,743 |
| Quartz ASO | Quartz | $2,744 |
| Ecoh | Ecoh 2 | $3,042 |
| ECOH | ECOH Two Medical Home | $3,042 |
| Aetna | Aetna commerical plans | $3,628 |
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