CT abdomen and pelvis with contrast at Aspirus Plover Hospital. CPT 74177.
What Aspirus Plover 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
$340–$2,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage Esa | $340 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $347 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $351 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $357 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $446 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $2,553 |
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