CT abdomen and pelvis with contrast at CentraCare - Rice Memorial Hospital. CPT 74177.
What CentraCare - Rice Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 26, 2026.
Outpatient / ER
$1,694cash price (self-pay)
$2,586list price
$283–$1,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS MHCP | Medicaid | $283 |
| BCBS | Medicare Advantage | $384 |
| Health Partners | Medicare Advantage | $384 |
| Medica | Medicare Advantage | $384 |
| United Healthcare VA | Commercial | $384 |
| South Country MHCP | Medicaid | $391 |
| South Country | Medicare | $395 |
| PrimeWest | Medicare | $403 |
| Ucare | Commercial | $441 |
| BCBS Blue Cross/Blue Plus | Commercial | $1,629 |
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