CT abdomen and pelvis with contrast at Aspirus Langlade Hospital. CPT 74177.
What Aspirus Langlade Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$584cash price (self-pay)
$4,936list price
$64.12–$835range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $64.12 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $65.40 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $65.40 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $67.33 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $73.65 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $78.76 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $80.34 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $80.34 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $80.35 |
| Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl | $80.37 |
| Tricare West | Tricare Plans | $80.37 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $80.37 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $81.98 |
| Aetna | Medicare Advantage Esa | $82.78 |
| Bone & Joint Clinic, Sc | Bone & Joint Health Self-Funded Ppo Plans | $375 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $456 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $497 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla | $517 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $525 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $546 |
| Forest County Potowatomi | Forest County Potowatomi Aspirus Network Pl | $614 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $630 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $659 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative Comm | $684 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $692 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Traditional Netw | $692 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $692 |
| First Health Group Corp | First Health National Rental Ppo Network | $770 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $795 |
| Healthpartners | Health Partners Commercial Ppo | $795 |
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