CT abdomen and pelvis with contrast at CHI St. Vincent. CPT 74177.
What CHI St. Vincent publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,543cash price (self-pay)
$6,012list price
$206–$2,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empower | Medicaid|All Plans | $206 |
| BCBS - AR | Medicare|PFFS | $340 |
| BCBS - AR | Medicare|HMO PPO | $350 |
| Cigna | Medicare|Healthspring | $350 |
| Humana | Medicare|All Plans | $350 |
| United | Medicare|All Plans | $350 |
| Aetna | Medicare|All Plans | $357 |
| Centene | Medicare|Allwell | $357 |
| BCBS - AR | Commercial|All Other Plans | $367 |
| BCBS - AR | Commercial|TrueBlue Exchange | $367 |
| Cigna | Commercial|AHN | $391 |
| Cigna | Commercial|NBR | $415 |
| Summit | Medicaid|All Plans | $468 |
| TotalCare | Medicaid|All Plans | $468 |
| Centene | Commercial|Ambetter Exchange | $498 |
| United | Commercial|Non-Options | $828 |
| United | Commercial|Options | $828 |
| Aetna | Commercial|All Other Plans | $1,002 |
| Aetna | Commercial|HMO | $1,002 |
| Aetna | Commercial|PPO | $1,002 |
| Cigna | Commercial|All Other Plans | $1,056 |
| Centene | Commercial|QualChoice | $1,104 |
| Humana | Commercial|All Plans | $2,118 |
Inpatient
$1,543cash price (self-pay)
$6,012list price
—range insurers pay
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