CT abdomen and pelvis with contrast at Aurora Sinai Medical Center of Aurora Health Care Metro. CPT 74177.
What Aurora Sinai Medical Center of Aurora Health Care Metro 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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All common services at Aurora Sinai Medical Center of Aurora Health Care Metro