CT abdomen and pelvis with contrast at Aspirus Ironwood Hospital. CPT 74177.
What Aspirus Ironwood 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–$830range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Upper Pennisula Health Plan | Michigan Medicaid | $54.95 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $64.12 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $65.40 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $65.40 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $67.33 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $74.46 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $78.76 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $80.35 |
| Upper Pennisula Health Plan | Michigan Medicaid Health Link | $80.47 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $82.07 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $82.11 |
| Blue Cross Blue Shield Of Michigan | Blue Care Network Medicare Advant | $82.11 |
| Triwest Healthcare Alliance | Triwest Healthcare Alliance Network | $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 | $161 |
| First Health Group Corp | First Health National Rental Ppo Network | $228 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $291 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $456 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $502 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $506 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Premier | $510 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $546 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $630 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $692 |
| Aetna | Commercial & Aetna Funding Advantage Plans | $770 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $795 |
| Health Eos | Health Eos Ppo Network Plans | $808 |
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