CT abdomen and pelvis with contrast at Aurora Medical Center Burlington. CPT 74177.
What Aurora Medical Center Burlington publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$3,140cash price (self-pay)
$6,280list price
$475–$5,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aurora Caregiver | Commercial | $475 |
| United Healthcare | Exchange | $538 |
| United Healthcare | Charter | $543 |
| United Healthcare | Nexus | $543 |
| Anthem | Blue Priority | $556 |
| United Healthcare | HMO | $627 |
| Anthem | Blue Preferred | $714 |
| HealthPartners | Employee Trust Fund | $796 |
| Molina Exchange | Commercial | $796 |
| Common Ground | Employee Trust Fund | $812 |
| Common Ground | Envision | $812 |
| Common Ground | Exchange | $812 |
| Centivo | Commercial | $820 |
| Aetna | HMO | $836 |
| Health Payment Systems | Commercial | $875 |
| Quartz One | Commercial | $900 |
| Everpointe Elite | Commercial | $983 |
| HealthPartners | Robin | $989 |
| Quartz Group | Commercial | $1,000 |
| HS Technology | Commercial | $1,014 |
| Wisconsin Physician Service | Aurora Featured | $1,128 |
| Trilogy | Commercial | $1,170 |
| Wisconsin Physician Service | Arise | $1,187 |
| Wisconsin Physician Service | Statewide | $1,187 |
| Cigna | PPO-GPPO | $1,700 |
| Health EOS Plus | Commercial | $3,768 |
| HealthPartners | Broad | $4,710 |
| Health EOS | PPO | $5,024 |
| Aetna | PPO | $5,187 |
| United Healthcare | PPO | $5,288 |
Inpatient
$3,140cash price (self-pay)
$6,280list price
$3,768–$5,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $3,768 |
| HealthPartners | Broad | $4,710 |
| Health EOS | PPO | $5,024 |
| Aetna | PPO | $5,187 |
| United Healthcare | PPO | $5,288 |
| Cigna | PPO | $5,313 |
| Anthem | PPO | $5,338 |
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