CT abdomen and pelvis with contrast at Aspirus St. Luke's Hospital. CPT 74177.
What Aspirus St. Luke's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$489cash price (self-pay)
$4,936list price
$2.95–$1,473range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ucare | Ucare Minnesota Medicaid Plans | $153 |
| Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $185 |
| Healthpartners | Healthpartners Medicare Advantage Plans | $186 |
| Ucare | Ucare Medicare Advantage Plans | $191 |
| Blue Cross Blue Shield Minnesota | Blue Cross Medicare Advantage Plans | $214 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $287 |
| Aetna | Medicare Advantage Esa | $294 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $361 |
| United Healthcare Of Minnesota, Inc. | United Healthcare Hmo/Ppo/Pos/E | $472 |
| Blue Cross Blue Shield Minnesota | Blue Cross Minnesota State Employee | $479 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Commercial Plans | $722 |
| Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Commercial Pla | $774 |
| Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Federal Employ | $930 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $1,416 |
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