CT abdomen and pelvis with contrast at Allendale County Hospital. CPT 74177.
What Allendale County Hospital publishes for this service, straight from its standard-charges file, last updated May 28, 2026.
Outpatient / ER
$170cash price (self-pay)
$875list price
$10.54–$682range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna_medicare_open_plan | Medicare | $346 |
| Allwell_medicare_plan | Medicare | $346 |
| Devoted_health_plan | Medicare | $346 |
| Emblem_health_plan | Medicare | $346 |
| Eon_health_plan | Medicare | $346 |
| Freedom_health_plan | Medicare | $346 |
| Healthsun_health_plan_plan | Medicare | $346 |
| Humana_gold_plan | Medicare | $346 |
| Pruitt_health_premier_plan | Medicare | $346 |
| United_healthcare_medicare_solutions_plan | Medicare | $346 |
| Wellcare_medicare_advantage_plan | Medicare | $346 |
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