CT abdomen and pelvis with contrast at River Falls Area Hospital. CPT 74177.
What River Falls Area Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1,825cash price (self-pay)
$3,259list price
$326–$3,259range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | BC PMAP (R) | $326 |
| Medicaid | Medicaid MA (R) | $332 |
| Allina Aetna Medicare (R) | Allina Aetna Medicare (R) | $342 |
| Medicare | Medicare (R) | $360 |
| Medica Health System | Medica PMAP (R) | $500 |
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $656 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (R) | $804 |
| BC AWARE/Blue Plus (NR) | BC AWARE/Blue Plus (NR) | $919 |
| Blue Cross Blue Shield of Minnesota | BC Premier (R) | $1,034 |
| BCBS | Bc Aehp (R) | $1,216 |
| BC High Value/ Performance Network (R) | BC High Value/ Performance Ne | $1,305 |
| Medicare Other | All Other Medicare (R) | $1,379 |
| BCBS | BC Medicare (R) | $1,448 |
| Medica | Medica Medicare (R) | $1,448 |
| Medica Health System | Medica Dual Solutions (R) | $1,467 |
| South Country Health Alliance | SCHA MSHO (R) | $1,517 |
| All Other Medicaid | All Other Medicaid (R) | $1,564 |
| South Country Health Alliance | SCHA PMAP (R) | $1,611 |
| Aetna | Aetna Elevate (N R) | $2,017 |
| Aetna | Aetna Performance (N R) | $2,179 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $2,514 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $2,737 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $2,737 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $2,784 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $3,259 |
Inpatient
$1,825cash price (self-pay)
$3,259list price
$1,997–$3,259range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (N R) | $1,997 |
| Aetna | Aetna Performance (N R) | $2,157 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $2,514 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $2,737 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $2,737 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $2,756 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $3,259 |
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