CT abdomen and pelvis with contrast at Rainy Lake Medical Center. CPT 74177.
What Rainy Lake Medical Center publishes for this service, straight from its standard-charges file, last updated May 6, 2026.
Outpatient / ER
$2,545cash price (self-pay)
$3,305list price
$63.09–$3,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Minnesota Health Care Programs | $207 |
| HealthPartners | Medicare Advantage | $263 |
| Humana/ChoiceCare | Medicare Advantage | $263 |
| UCare Minnesota | MinnesotaCare/Senior Care Plus/Non-Integrated Specia | $263 |
| Medica | Medicare Advantage | $303 |
| UCare Minnesota | MSHO/Integrated Dual Eligible Special Needs/Medicare | $303 |
| UCare Minnesota | Individual and Family Plans | $461 |
| Medica | Commercial Plans | $482 |
| Blue Cross of Minnesota | Minnesota Health Care Programs | $723 |
| United Healthcare | Minnesota Medicaid Benefit Plans/CHIP | $1,421 |
| HealthPartners | MinnesotaCare Programs | $2,148 |
| Blue Cross of Minnesota | Medicare Advantage PPO/Platinum Blue/Medicar | $2,564 |
| HealthPartners | Medicare Cost Products | $2,644 |
| United Healthcare | Commercial Plans | $2,710 |
| HealthPartners | State of Minnesota Advantage Products | $2,819 |
| Blue Cross of Minnesota | Commercial Plans | $2,882 |
| Sanford Health Plan | PHO | $2,892 |
| HealthPartners | Commercial Plans | $3,140 |
| Humana/ChoiceCare | Commercial Plans | $3,140 |
| Preferred One | All Plans | $3,206 |
Inpatient
$2,545cash price (self-pay)
$3,305list price
$723–$3,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Minnesota Health Care Programs | $723 |
| HealthPartners | MinnesotaCare Programs | $2,148 |
| Blue Cross of Minnesota | Medicare Advantage PPO/Platinum Blue/Medicar | $2,564 |
| HealthPartners | Medicare Cost Products | $2,644 |
| HealthPartners | State of Minnesota Advantage Products | $2,819 |
| Blue Cross of Minnesota | Commercial Plans | $2,882 |
| Sanford Health Plan | PHO | $2,892 |
| Medica | Commercial Plans | $3,034 |
| HealthPartners | Commercial Plans | $3,140 |
| Humana/ChoiceCare | Commercial Plans | $3,140 |
| Preferred One | All Plans | $3,206 |
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