CT abdomen and pelvis with contrast at Oakleaf Surgical Hospital. CPT 74177.
What Oakleaf Surgical Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
$54.09cash price (self-pay)
$1,663list price
$346–$1,748range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield WI | Medicare HMOPPO | $346 |
| Dean Health Plan | Medicare Advantage | $346 |
| Group Health Cooperative of Eau Claire | Medicare | $346 |
| HealthPartners | Medicare Advantage | $346 |
| Humana | Medicare Advantage PPO/PFFS | $346 |
| Medica | Medicare Advantage | $346 |
| Quartz Health Solutions | Medicare Advantage | $346 |
| Security Health Plan of WI | Medicare Advantage | $346 |
| UCare WI | Medicare Advantage | $346 |
| United Healthcare | Medicare Advantage | $346 |
| Security Health Plan of WI | Commercial EPO | $876 |
| Alliance | Commercial | $1,728 |
| Anthem Blue Cross Blue Shield WI | Commercial | $1,748 |
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