CT abdomen and pelvis with contrast at Heartland Long Term Acute Hospital. CPT 74177.
What Heartland Long Term Acute Hospital publishes for this service, straight from its standard-charges file, last updated June 23, 2026.
Outpatient / ER
$2,550cash price (self-pay)
$3,600list price
$71.10–$7,476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup of Iowa | Managed Medicaid | $225 |
| Iowa Total Care | Managed Medicaid | $225 |
| Molina of Iowa | Managed Medicaid | $225 |
| Aetna of Kansas | Managed Medicaid | $252 |
| Sunflower of Kansas | Managed Medicaid | $252 |
| United Healthcare of Kansas | Managed Medicaid | $252 |
| Blue Cross HMO | Commercial | $314 |
| Blue Cross PCB | Commercial | $314 |
| Blue Cross PC | Commercial | $336 |
| Aetna | Medicare Advantage | $360 |
| Blue Cross Blue Shield | Medicare Advantage | $360 |
| United Healthcare | Medicare Advantage | $360 |
| United Healthcare | Commercial | $377 |
| Ambetter | Commercial | $684 |
| Aetna | Commercial | $2,481 |
| Centurion | Commercial | $2,520 |
| GEHA Shared Services | Commercial | $2,923 |
| Freedom Select Healthlink | Commercial | $3,091 |
| Healthlink Open Access | Commercial | $3,091 |
| Preferred Health Professional | Commercial | $3,091 |
| Sisco | Commercial | $3,091 |
| Cigna | Commercial | $3,168 |
| Multiplan | Commercial | $3,240 |
| United Healthcare of Missouri | Managed Medicaid | $5,076 |
| Home State of Missouri | Managed Medicaid | $5,220 |
| Healthy Blue of Missouri | Managed Medicaid | $6,408 |
Inpatient
$2,550cash price (self-pay)
$3,600list price
$1,200–$3,780range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $1,440 |
| Blue Cross HMO | Commercial | $2,722 |
| Blue Cross PCB | Commercial | $2,722 |
| GEHA Shared Services | Commercial | $2,923 |
| United Healthcare | Commercial | $2,923 |
| Aetna | Commercial | $2,977 |
| Freedom Select Healthlink | Commercial | $3,091 |
| Healthlink Open Access | Commercial | $3,091 |
| Preferred Health Professional | Commercial | $3,091 |
| Sisco | Commercial | $3,091 |
| Blue Cross PC | Commercial | $3,125 |
| Cigna | Commercial | $3,168 |
| Multiplan | Commercial | $3,240 |
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