CT abdomen and pelvis with contrast at Aspirus Medford Hospital. CPT 74177.
What Aspirus Medford 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–$862range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $64.12 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $64.27 |
| 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 | $76.50 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $80.32 |
| 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. | Va Community Care Network | $80.37 |
| Tricare West | Tricare Plans | $81.96 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $81.98 |
| Multiplan, Inc | Multiplan Ppo Network Plans | $400 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $456 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $506 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $517 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $525 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $536 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $630 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $636 |
| 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 Federal Employee Prog | $692 |
| Healthpartners | Health Partners Commercial Ppo | $787 |
| First Health Group Corp | First Health National Rental Ppo Network | $821 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $862 |
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