CT abdomen and pelvis with contrast at Altru Hospital. CPT 74177.
What Altru Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$148cash price (self-pay)
$4,489list price
$134–$647range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS BluePlus of MN | Medicaid Managed Care Plan | $134 |
| Medica | Medicaid Managed Care Plan | $138 |
| Medica | Medicaid Managed Care Plan - HMO | $138 |
| Medica | Medicare Managed Care Plan | $248 |
| Medica | All Commercial Plans | $405 |
| BCBS BluePlus of MN | All Commercial Plans | $647 |
| BCBS of MN | All Commercial Plans | $647 |
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