CT abdomen and pelvis with contrast at Marshfield Medical Center Beaver Dam Hospital. CPT 74177.
What Marshfield Medical Center Beaver Dam Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$4,536cash price (self-pay)
$4,775list price
$1,062–$5,836range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WPS Health Insurance | PPO | $1,062 |
| UnitedHealth Group of WI | PPO | $2,026 |
| The Alliance | PPO Network/Premier | $2,425 |
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $2,482 |
| Amish/Mennonite | Amish Mennonite | $2,626 |
| Quartz | Broad | $2,722 |
| Security Health Plan (SHP) | Broad | $2,758 |
| Health Payment Systems | PPO Network | $3,323 |
| Anthem BCBS of WI | HMO/POS | $3,449 |
| Cigna | PPO | $3,534 |
| Humana / ChoiceCare | HMO | $3,772 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $3,916 |
| Network Health Plan | HMO | $3,987 |
| First Health | PPO Network | $4,059 |
| Molina Healthcare of WI | HMO | $4,059 |
| Humana / ChoiceCare | PPO | $4,250 |
| Trilogy | PPO | $4,298 |
| Trilogy | Third Party | $4,298 |
| HealthEOS by MultiPlan Inc. | PPO Network | $4,441 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $4,536 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $4,536 |
| Health Partners | PPO | $4,536 |
| Coventry | Workers Comp | $4,584 |
| Anthem BCBS of WI | PPO | $5,836 |
| Anthem BCBS of WI | Traditional | $5,836 |
Inpatient
$4,536cash price (self-pay)
$4,775list price
$2,482–$4,584range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $2,482 |
| Amish/Mennonite | Amish Mennonite | $2,626 |
| Security Health Plan (SHP) | Broad | $2,758 |
| WPS Health Insurance | PPO | $3,214 |
| Cigna | PPO | $3,247 |
| Health Payment Systems | PPO Network | $3,323 |
| Humana / ChoiceCare | HMO | $3,772 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $3,916 |
| Network Health Plan | HMO | $3,987 |
| First Health | PPO Network | $4,059 |
| Molina Healthcare of WI | HMO | $4,059 |
| Humana / ChoiceCare | PPO | $4,250 |
| Trilogy | PPO | $4,298 |
| Trilogy | Third Party | $4,298 |
| HealthEOS by MultiPlan Inc. | PPO Network | $4,441 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $4,536 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $4,536 |
| Health Partners | PPO | $4,536 |
| Coventry | Workers Comp | $4,584 |
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All common services at Marshfield Medical Center Beaver Dam Hospital