CT abdomen and pelvis with contrast at Robbinsdale Hospital. CPT 74177.
What Robbinsdale Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$707cash price (self-pay)
$1,341list price
$282–$1,432range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners [1061] | Nmh Hp Govt Msho | $282 |
| Blue Cross [1021] | Nmh BCBS Pmap | $300 |
| Medicaid [1087] | Nmh Medicaid Mn | $344 |
| Blue Cross [1021] | Nmh BCBS Msho | $361 |
| Humana [2203] | Nmh Humana Med Adv | $361 |
| Medicare [1088] | Nmh Medicare | $361 |
| Ucare [1148] | Nmh Ucare Pmap | $361 |
| Health Partners [1061] | Nmh Hp Med Adv | $362 |
| Medica [1086] | Nmh Medica Med Adv | $365 |
| Blue Cross [1021] | Nmh BCBS Med Adv | $372 |
| Ucare [1148] | Nmh Ucare Med Adv | $372 |
| Ucare [1148] | Nmh Ucare Msho | $372 |
| United Healthcare [2204] | Nmh UHC Med Adv | $376 |
| Allina Health-Aetna [2201] | Nmh Allina Health Aetna Medicare | $392 |
| Medica [1086] | Medica Choice Care | $618 |
| Ucare [1148] | Nmh Ucare Ifb | $661 |
| Medica [1086] | Nmh Medica Msho | $715 |
| Blue Cross [1021] | Nmh BCBS Federal | $729 |
| Blue Cross [1021] | Nmh BCBS Aware | $742 |
| United Healthcare [2204] | UHC Comm | $881 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $908 |
| Cigna Health Partners [1242] | Nmh Hp Cigna | $945 |
| Health Partners [1061] | Nmh Hp Federal | $945 |
| Health Partners [1061] | Nmh Hp Comm | $962 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $966 |
| Phcs [1172] | Phcs Reimbursement Contract | $1,006 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $1,073 |
| Medica [1086] | Medica Acclaim | $1,299 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $1,334 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $1,432 |
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