CT abdomen and pelvis with contrast at Aspirus Rhinelander Hospital. CPT 74177.
What Aspirus Rhinelander 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–$2,542range 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 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $78.76 |
| 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 |
| Security Health Plan Of Wisconsin, Inc. | Family Health Center Plan | $80.34 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $80.35 |
| Tricare West | Tricare Plans | $80.37 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $80.37 |
| Multiplan, Inc | Phcs Ppo Networks | $80.82 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $81.79 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $82.70 |
| Forest County Potowatomi | Forest County Potowatomi Aspirus Network Pl | $132 |
| Aetna | Medicare Advantage Esa | $209 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $213 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $456 |
| Bone & Joint Clinic, Sc | Bone & Joint Health Self-Funded Ppo Plans | $460 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $525 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $526 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Traditional Netw | $554 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Hmo | $628 |
| Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl | $647 |
| 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 Federal Employee Prog | $692 |
| First Health Group Corp | First Health National Rental Ppo Network | $770 |
| Multiplan, Inc | Health Eos Ppos Network Plans | $770 |
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