CT abdomen and pelvis with contrast at Aspirus Wisconsin Rapids Hospital. CPT 74177.
What Aspirus Wisconsin Rapids 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
$64.27–$2,542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $64.27 |
| Aetna | Medicare Advantage Esa | $339 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $346 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $349 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $356 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $1,416 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $1,416 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Indemni | $1,416 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla | $1,416 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Premier | $1,416 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $2,542 |
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