CT abdomen and pelvis with contrast at Amery Hospital. CPT 74177.
What Amery Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,731cash price (self-pay)
$3,320list price
$328–$3,219range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners [900713] | Hp Self Insured [91021] | $328 |
| BCBS Medicaid Replacement [950295] | BCBS Pmap [95296] | $608 |
| Hp Medicare Replacement [950306] | Hp Medicare Advantage [95307] | $1,191 |
| BCBS Medicare Replacement [950296] | BCBS Medicare Advantage [50299] | $1,208 |
| UHC Medicare Replacement [950281] | UHC Medicare Advantage PPO [50275] | $1,232 |
| Medica Medicare Replacement [950299] | Medica Government Advantage [50 | $1,243 |
| Medica [900156] | Medica Choice [90156] | $2,965 |
| First Health Network [950334] | First Health Network [95334] | $2,988 |
| Unitedhealthcare [900444] | UHC [50131] | $3,219 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.