CT abdomen and pelvis with contrast at Essentia Health-Deer River. CPT 74177.
What Essentia Health-Deer River publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,528cash price (self-pay)
$3,421list price
$357–$3,421range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Med Care | Medicaid | $357 |
| BCBS MN | Medicaid | $1,313 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $1,313 |
| HealthPartners CARE PMAP | Medicaid | $1,375 |
| Advocare/Security Health | Medicare | $1,471 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $1,471 |
| Freedom Blue PPO | Medicare | $1,471 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $1,471 |
| IMCARE MSHO PCC PRIME | Medicare | $1,471 |
| IMCARE MSHO REF REQ | Medicare | $1,471 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $1,471 |
| MEDICA MSHO/Dual Solutions | Medicare | $1,471 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $1,471 |
| MEDICARE ADV PFFS | Medicare | $1,471 |
| HealthPartners | SHP | $2,313 |
| BCBS Mn | Shp | $2,378 |
| America's PPO | Commercial | $2,651 |
| Cigna | Commercial | $2,668 |
| HealthPartners PCC PRIME | Commercial | $2,668 |
| HealthPartners | Commercial | $2,668 |
| Aetna First Health | Commercial | $2,908 |
Inpatient
$2,528cash price (self-pay)
$3,421list price
$1,375–$3,421range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $1,375 |
| BCBS MN | Medicaid | $1,882 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $1,882 |
| BCBS Mn | Shp | $2,258 |
| HealthPartners | SHP | $2,374 |
| MN BCBS Commercial | BCBS MN | $2,395 |
| America's PPO | Commercial | $2,651 |
| Cigna | Commercial | $2,727 |
| HealthPartners PCC PRIME | Commercial | $2,727 |
| HealthPartners | Commercial | $2,727 |
| Aetna First Health | Commercial | $2,908 |
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