CT abdomen and pelvis with contrast at Edgerton Hospital and Health Services. CPT 74177.
What Edgerton Hospital and Health Services publishes for this service, straight from its standard-charges file, last updated July 19, 2026.
Outpatient / ER
$185cash price (self-pay)
$3,155list price
$55.00–$542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Default | $55.00 |
| United Healthcare | Default | $153 |
| Quartz | Default | $343 |
| Alliance Healthplans of WI | Default | $542 |
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All common services at Edgerton Hospital and Health Services