CT abdomen and pelvis with contrast at Douglas County Hospital, dba Alomere Health. CPT 74177.
What Douglas County Hospital, dba Alomere Health publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,216cash price (self-pay)
$2,096list price
$188–$1,002range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medicaid Managed Care Plan | $188 |
| Aetna | Medicare Managed Care Plan | $360 |
| Primewest | Medicare Managed Care Plan | $378 |
| Ucare | Commercial | $414 |
| America's Ppo | Commercial | $549 |
| Blue Cross Of Mn | Commercial | $895 |
| Healthpartners | Commercial | $1,002 |
| Cigna | Commercial | $1,002 |
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All common services at Douglas County Hospital, dba Alomere Health