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CT abdomen and pelvis with contrast at Aspirus Tomahawk Hospital. CPT 74177.

What Aspirus Tomahawk 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
$81.12–$526range insurers pay
Insurance planNegotiated rate
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons$81.12
Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos$411
United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E$526
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All common services at Aspirus Tomahawk Hospital