CT abdomen and pelvis with contrast at Kittson Healthcare. CPT 74177.
What Kittson Healthcare publishes for this service, straight from its standard-charges file, last updated June 26, 2026.
Outpatient / ER
$3,563cash price (self-pay)
$3,563list price
$1,211–$2,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | Managed Medicaid | $1,211 |
| Medica | Minnesota Health Care Programs | $1,479 |
| HealthPartners | HMO | $1,532 |
| Blue Cross Blue Shield of Minnesota | Medicare Advantage | $1,710 |
| UCare | Medicare Advantage | $1,995 |
| United Healthcare | VACCN | $1,995 |
| Medica | Medicare Advantage | $2,031 |
| Medica | Minnesota Senior Health Option (MSHO) | $2,132 |
| Blue Cross Blue Shield of Minnesota | Commercial | $2,581 |
| Blue Cross Blue Shield of North Dakota | Federal Employee Health Benef | $2,779 |
| Blue Cross Blue Shield of North Dakota | Preferred Blue PPO | $2,779 |
| Blue Cross Blue Shield of North Dakota | Public Employees Retirement S | $2,779 |
| Blue Cross Blue Shield of North Dakota | Caring for Children | $2,779 |
| Medica | Commercial | $2,964 |
Inpatient
$3,563cash price (self-pay)
$3,563list price
$1,140–$2,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | Managed Medicaid | $1,140 |
| HealthPartners | HMO | $1,532 |
| Blue Cross Blue Shield of Minnesota | Medicare Advantage | $1,746 |
| UCare | Medicare Advantage | $1,782 |
| Blue Cross Blue Shield of Minnesota | Commercial | $2,694 |
| Medica | Commercial | $2,964 |
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