CT abdomen and pelvis with contrast at Southwest Health Center. CPT 74177.
What Southwest Health Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$3,723cash price (self-pay)
$4,964list price
$1,489–$4,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross | Medicare Advantage | $1,489 |
| Care Wisconsin | Medicare Advantage | $1,489 |
| United Healthcare | Medicare Advantage | $1,539 |
| Dean Health Plan | All Products | $1,798 |
| Quartz | Medicare Advantage | $3,078 |
| Care Wisconsin | Family Care | $3,227 |
| Care Wisconsin | Partnership | $3,227 |
| Care Wisconsin | Managed Medicaid | $3,227 |
| Cigna | All Products | $3,723 |
| Wps | All Products | $3,723 |
| Quartz | All Products | $3,872 |
| Anthem Blue Cross | All Products | $3,922 |
| Group Health Cooperative Of Sc | HMO | $3,971 |
| United Healthcare | All Products | $4,070 |
| Group Health Cooperative Of Sc | All Products | $4,319 |
| Humana | All Products | $4,468 |
| Healthchoice | POS | $4,716 |
| Anthem Blue Cross | Managed Medicaid | $4,964 |
| Group Health Eau Claire | Managed Medicaid | $4,964 |
| Group Health South Central | Managed Medicaid | $4,964 |
Inpatient
$3,723cash price (self-pay)
$4,964list price
$1,489–$4,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Group Health Cooperative Of Sc | All Products | $4,070 |
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