CT abdomen and pelvis with contrast at River's Edge Hospital and Clinic. CPT 74177.
What River's Edge Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$2,870cash price (self-pay)
$3,588list price
$57.26–$3,480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners | Managed Medicaid | $188 |
| HealthPartners | Commercial | $188 |
| Medica | Managed Medicaid | $207 |
| HealthPartners | Medicare Advantage | $255 |
| Aetna | Medicare Advantage | $263 |
| UCare | Dually Eligible | $263 |
| United Healthcare | Medicare Advantage | $263 |
| PrimeWest | Managed Medicaid | $263 |
| PrimeWest | Medicare Advantage | $263 |
| Humana | Medicare Advantage | $264 |
| South Country Health Alliance | Medicare Advantage | $289 |
| Aetna | Commercial | $436 |
| Blue Cross Blue Shield | Medicare Advantage | $630 |
| Blue Cross Blue Shield | Managed Medicaid | $917 |
| Blue Cross Blue Shield | Commercial | $1,834 |
| Medica | Medicare Advantage | $2,332 |
| Medica | MSHO/Medicare Cost/Medicare Select | $2,332 |
| UCare | Non-Dually Eligible | $2,332 |
| Medica | Commercial | $2,587 |
| United Healthcare | Commercial | $2,942 |
| Sanford Health Plan | All Products | $3,301 |
| Multiplan | Commercial | $3,372 |
| America's PPO | Commercial | $3,480 |
Inpatient
$2,870cash price (self-pay)
$3,588list price
$961–$3,480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $961 |
| HealthPartners | Managed Medicaid | $2,153 |
| Blue Cross Blue Shield | Commercial | $2,220 |
| Medica | Commercial | $2,587 |
| United Healthcare | Commercial | $2,978 |
| Aetna | Commercial | $3,301 |
| Sanford Health Plan | All Products | $3,301 |
| Multiplan | Commercial | $3,372 |
| HealthPartners | Commercial | $3,398 |
| America's PPO | Commercial | $3,480 |
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