CT abdomen and pelvis with contrast at Windom Area Health. CPT 74177.
What Windom Area Health publishes for this service, straight from its standard-charges file, last updated February 3, 2026.
Outpatient / ER
$154cash price (self-pay)
$2,986list price
$85.91–$5,458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $1,134 |
| Blue Cross Blue Shield of Minnesota Blue Plus | PMAP | $1,134 |
| Aetna | Medicare Replacement | $1,314 |
| Blue Cross Blue Shield | Medicare Replacement | $1,314 |
| Blue Plus Minnesota Senior Health Options (MSHO) | Medicare Replacemen | $1,314 |
| Humana | Medicare Replacement | $1,314 |
| Medica | Medicare Replacement | $1,314 |
| Medica Minnesota Senior Health Options (MSHO) | Medicare Replacement | $1,314 |
| Primewest Minnesota Senior Health Options (MSHO) | Medicare Replacemen | $1,314 |
| UCare for Seniors | Medicare Replacement | $1,314 |
| Ucare Minnesota Senior Health Options (MSHO) | Medicare Replacement | $1,314 |
| United Healthcare | Medicare Replacement | $1,314 |
| Medica | PMAP | $1,484 |
| United Healthcare | Commercial | $2,442 |
| Blue Cross Blue Shield | Commercial | $2,505 |
| Blue Cross Blue Shield of Minnesota | Commercial | $2,505 |
| Blue Cross Blue Shield of North Dakota | Commercial | $2,505 |
| Blue Cross Blue Shield Wellmark | Commercial | $2,505 |
| Health Partners | Commercial | $2,538 |
| Avera Health Plans | Commercial | $2,777 |
| Medica | Commercial | $2,795 |
| Sanford | Commercial | $2,836 |
Inpatient
$154cash price (self-pay)
$2,986list price
$85.91–$5,377range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $1,134 |
| Blue Cross Blue Shield of Minnesota Blue Plus | PMAP | $1,134 |
| Medica | PMAP | $1,484 |
| Sanford | Commercial | $1,791 |
| United Healthcare | Commercial | $2,442 |
| Health Partners | Commercial | $2,538 |
| Avera Health Plans | Commercial | $2,777 |
| Medica | Commercial | $2,795 |
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