CT abdomen and pelvis with contrast at UnityPoint Health - Meriter Hospital. CPT 74177.
What UnityPoint Health - Meriter Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$4,905cash price (self-pay)
$6,132list price
$80.37–$5,825range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $244 |
| Anthem Blue Cross and Blue Shield | Medicare Advantage | $244 |
| IlliniCare | Medicare Advantage | $244 |
| Prevea 360 | Medicare Advantage | $244 |
| Aspirus | Medicare Advantage | $244 |
| Humana | Medicare Advantage | $257 |
| MeridianCare | Medicare Advantage | $257 |
| Health Partners Open Network | Commercial | $559 |
| United Healthcare | Commercial | $619 |
| Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | $657 |
| Anthem Blue Cross and Blue Shield | HMO/POS | $733 |
| Medical Associates Health Plan | HMO/POS/PPO | $809 |
| Anthem Blue Cross and Blue Shield | PPO | $1,098 |
| Wellmark UPH Self-Funded | Commercial | $1,098 |
| Aspirus | PPO | $1,410 |
| Cigna | Commercial | $1,839 |
| Security Health Plan | HMO/POS/SAS | $1,901 |
| Quartz | HMO | $1,913 |
| Mercy Care | HMO/POS | $2,036 |
| Aspirus | HMO/POS | $2,207 |
| Prevea 360 | Commercial | $5,212 |
| Anthem Blue Cross and Blue Shield | Traditional | $5,825 |
Inpatient
$4,905cash price (self-pay)
$6,132list price
$1,410–$5,825range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aspirus | PPO | $1,410 |
| Security Health Plan | HMO/POS/SAS | $1,901 |
| Mercy Care | HMO/POS | $2,036 |
| Aspirus | HMO/POS | $2,207 |
| Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | $2,596 |
| Anthem Blue Cross and Blue Shield | HMO/POS | $3,186 |
| Wellmark UPH Self-Funded | Commercial | $3,540 |
| Anthem Blue Cross and Blue Shield | PPO | $3,540 |
| Aspirus | Medicare Advantage | $3,679 |
| Prevea 360 | Commercial | $5,212 |
| Anthem Blue Cross and Blue Shield | Traditional | $5,825 |
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