CT abdomen and pelvis with contrast at University Hospital. CPT 74177.
What University Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,683cash price (self-pay)
$6,139list price
$356–$5,832range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem_Blue_Priority | Blue_Priority/Pathway | $1,100 |
| Anthem_HMO_POS | HMO/POS | $1,500 |
| Alliance_Premier_Network | Alliance_Premier_Network | $2,933 |
| MercyCare | POS/HMO/PPO/EPO | $3,045 |
| Triology | Upward | $3,131 |
| Security_Health_Plan | Enrich | $3,315 |
| Employer's_Coalition_on_Health | ECOHOne | $3,376 |
| Alliance | Alliance | $3,453 |
| HFN | Platinum | $3,499 |
| United_Healthcare | Nexus | $3,518 |
| Beloit_Health_System | PPO | $3,561 |
| Aspirus_Health_Plan | HMO/POS | $3,585 |
| Cigna | OAP/PPO/EPO | $3,683 |
| Employer's_Coalition_on_Health | ECOHTwo | $3,745 |
| Health_Partners_Insurance | HMO | $3,745 |
| Triology | PPO | $3,745 |
| Health_Payment_Systems | PPO | $3,763 |
| Optum_Behavioral_Health | Optum_Behavioral_Health | $3,843 |
| United_Healthcare | NonOptions | $3,843 |
| Security_Health_Plan | HMO/POS/Indemnity/ASO | $3,898 |
| Dean_Health_Plan | HMO/POS/ASO/Focus | $3,929 |
| WPS | HealthyU/Aspirus | $4,254 |
| Employers_Healthcare_Coalition_of_WI | PPO | $4,297 |
| Aetna | Aetna_W | $4,377 |
| Anthem_PPO | PPO | $4,413 |
| WPS | Statewide | $4,684 |
| Aspirus_Network_Inc | PPO | $4,727 |
| Employer's_Coalition_on_Health | ECOH3 | $4,727 |
| Hfn | Chc/Hfn_20 | $4,727 |
| Chorus_Community | Chorus_Community_Health_Plan | $4,911 |
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