CT abdomen and pelvis with contrast at Bellin Health Oconto Hospital. CPT 74177.
What Bellin Health Oconto Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$760cash price (self-pay)
$1,642list price
$175–$1,622range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners | Select | $175 |
| Healthpartners | Focus | $345 |
| Healthpartners | Broad | $373 |
| Chorus Community Health Plan | Managed Medicaid | $453 |
| Security Health Plan | Medicare Advantage | $476 |
| Anthem | Managed Medicaid | $511 |
| COMMUNITY CARE | Medicare Advantage | $511 |
| COMMUNITY CARE | Managed Medicaid | $511 |
| ICARE | Managed Medicaid | $511 |
| Managed Health Service | Medicare Advantage | $511 |
| Managed Health Service | Managed Medicaid | $511 |
| My Choice | Medicare Advantage | $511 |
| My Choice | SSI Managed Medicaid | $511 |
| Molina Health | Managed Medicaid | $527 |
| My Choice | BadgerChoice Plus Managed Medicaid | $537 |
| Trilogy | Managed Medicaid | $537 |
| ANTHEM | Managed Medicare | $558 |
| HUMANA | Medicare Advantage | $558 |
| Network Health | Medicare Advantage | $558 |
| AETNA | Medicare | $821 |
| Common Ground | ALL PRODUCTS | $1,100 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $1,149 |
| Chorus Community Health Plan | ALL PRODUCTS | $1,232 |
| Aspirus Arise | ALL PRODUCTS | $1,249 |
| HEALTHSMART | Medical Rental Network | $1,314 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $1,314 |
| IHS(ClaimsBridge) | Medical Rental Network | $1,314 |
| Medical College of WI | Self-funded employer | $1,314 |
| Multiplan/Healtheos | All Products | $1,314 |
| Anthem | Priority | $1,325 |
Inpatient
$760cash price (self-pay)
$1,642list price
$476–$1,478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | ALL PRODUCTS | $1,133 |
| United Health Care | HMO | $1,148 |
| United Health Care | PPO Options | $1,148 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $1,169 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.