CT abdomen and pelvis with contrast at Johnson Memorial Health Services. CPT 74177.
What Johnson Memorial Health Services publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$3,157cash price (self-pay)
$3,714list price
$726–$3,417range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBSMN Blue Plus MCD Rep Plan DOS after 1/1/19 | All Plans | $726 |
| Blue Cross Blue Shield of MN | All Commercial Plans | $1,451 |
| United Healthcare | Medicare Advantage | $1,486 |
| Blue Cross Blue Shield of MN | HMO | $1,867 |
| Blue Cross Blue Shield of MN | Medicare Advantage | $1,929 |
| Medicare A MN J6 | All Plans | $1,929 |
| United Healthcare | All Commercial Plans | $3,417 |
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