CT abdomen and pelvis with contrast at Aspirus Iron River Hospital. CPT 74177.
What Aspirus Iron River Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$584cash price (self-pay)
$4,936list price
$54.95–$829range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Upper Pennisula Health Plan | Michigan Medicaid | $54.95 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $64.12 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $64.12 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $65.40 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $67.33 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $80.35 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $80.47 |
| Blue Cross Blue Shield Of Michigan | Blue Care Network Medicare Advant | $81.84 |
| Health Eos | Health Eos Ppo Network Plans | $82.11 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $82.11 |
| Tricare East | Tricare Plans | $83.50 |
| Blue Cross Blue Shield Of Michigan | Blue Cross Blue Shield Of Michiga | $131 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $137 |
| Blue Cross Blue Shield Of Michigan | Blue Care Network | $170 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $452 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $506 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $525 |
| Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl | $616 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $629 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $630 |
| Aetna | Commercial & Aetna Funding Advantage Plans | $829 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $829 |
| Multiplan, Inc | Multiplan Ppo Network Plans | $829 |
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