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CT abdomen and pelvis with contrast at Madelia Health. CPT 74177.

What Madelia Health publishes for this service, straight from its standard-charges file, last updated August 7, 2026.

Outpatient / ER

$3,109cash price (self-pay)
$5,526list price
$516–$4,973range insurers pay
Insurance planNegotiated rate
Medica Mcaid Mn Care | Medica Mcaid Mn Care$516
Medica Msho Mcr Cost Select | Medica Msho Mcr Cost Select$541
Blue Cross (Mhcp) - All Other Plans | Blue Cross (Mhcp) - All Other Pl$713
Blue Cross Blue Plus | Blue Cross Blue Plus$1,354
Tricare-All Plans | Tricare-All Plans$2,940
Blue Cross Mcr Adv | Blue Cross Mcr Adv$3,094
Medica Mcr Adv Mayo | Medica Mcr Adv Mayo$3,094
Optum Va Ccn-All Plans | Optum Va Ccn-All Plans$3,094
UHC Mcr Adv | UHC Mcr Adv$3,094
Ucare Mcr/Msho/Sr Plus | Ucare Mcr/Msho/Sr Plus$3,094
Blue Cross High Value | Blue Cross High Value$3,240
UHC Mcaid | UHC Mcaid$3,260
Ucare Comm - All Other Plans | Ucare Comm - All Other Plans$3,558
Medica Comm - All Other Plans | Medica Comm - All Other Plans$3,973
Health Partners - All Plans | Health Partners - All Plans$4,619
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$4,918
Preferred One PPO - All Plans | Preferred One PPO - All Plans$4,973
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All common services at Madelia Health