CT abdomen and pelvis with contrast at Burnett Medical Center. CPT 74177.
What Burnett Medical Center publishes for this service, straight from its standard-charges file, last updated October 2, 2026.
Outpatient / ER
$3,383cash price (self-pay)
$4,229list price
$488–$4,102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ucare Mcaid - All Other Plans | Ucare Mcaid - All Other Plans | $488 |
| Security Badger Plus - All Plans | Security Badger Plus - All Plans | $488 |
| Group Health Co-Op Mcaid | Group Health Co-Op Mcaid | $986 |
| Ucare Mcare | Ucare Mcare | $1,776 |
| Healthnet Tricare - All Plans | Healthnet Tricare - All Plans | $1,794 |
| Medica Mn Care | Medica Mn Care | $2,220 |
| Medica Choice Care - All Other Plans | Medica Choice Care - All Other | $2,326 |
| Wea Ppp | Wea Ppp | $3,299 |
| Wea POS - All Other Plans | Wea POS - All Other Plans | $3,383 |
| Integrated Hp - All Plans | Integrated Hp - All Plans | $3,595 |
| Humana HMO/POS - All Plans | Humana HMO/POS - All Plans | $3,595 |
| Hcp - All Plans | Hcp - All Plans | $3,679 |
| Americas Hp - All Plans | Americas Hp - All Plans | $3,722 |
| Wea Standard | Wea Standard | $3,722 |
| Group Health Co-Op Comm - All Other Plans | Group Health Co-Op Comm - | $3,806 |
| Multiplan - All Plans | Multiplan - All Plans | $3,806 |
| BCBS - All Plans | BCBS - All Plans | $3,806 |
| Geha - All Plans | Geha - All Plans | $3,806 |
| Great West - All Plans | Great West - All Plans | $3,806 |
| Associated Health - All Plans | Associated Health - All Plans | $3,933 |
| Medica Comm | Medica Comm | $3,933 |
| Preferredone Adolescent- All Other Plans | Preferredone Adolescent- Al | $4,018 |
| Preferredone Adult | Preferredone Adult | $4,018 |
| Atrium Health - All Plans | Atrium Health - All Plans | $4,102 |
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