CT abdomen and pelvis with contrast at St. Joseph’s Hospital and Medical Center. CPT 74177.

What St. Joseph’s Hospital and Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$2,115cash price (self-pay)

$5,537list price

$327–$4,374range insurers pay

Insurance plan	Negotiated rate
United \| Medicaid\|All Plans	$327
United \| Medicare\|Dual Complete	$371
Health Choice \| Medicaid\|All Plans	$381
Mercy Care Plan \| Medicaid\|All Plans	$381
Aetna \| Medicare\|All Plans	$381
BCBS - AZ \| Medicare\|All Plans	$381
Care 1st \| Medicare\|All Plans	$381
Cigna \| Medicare\|All Plans	$381
First Health \| Medicare\|All Plans	$381
Health Choice \| Medicare\|All Plans	$381
Humana \| Medicare\|All Plans	$381
Mercy Care Plan \| Medicare\|All Plans	$381
Optum \| Medicare\|OptumCare	$381
United \| Medicare\|All Other Plans	$381
Optum \| Medicare\|OptumHealth	$419
United \| Commercial\|All Other Plans	$824
United \| Commercial\|Navigate	$824
United \| Commercial\|Options PPO	$824
United \| Commercial\|DignityHealthEmployee	$1,052
Cigna \| Commercial\|Exchange	$1,185
Cigna \| Commercial\|LocalPlus SureFit	$1,268
Connected Care \| Commercial\|Intel	$1,334
Cigna \| Commercial\|All Other Plans	$1,669
Aetna \| Commercial\|All Plans	$1,699
Optum \| Commercial\|OptumHealth	$2,602
Cigna \| Commercial\|LifeSource	$3,045
Other \| Commercial\|NTN	$3,322
LifeTrac \| Commercial\|All Plans	$3,599
First Health \| Commercial\|All Plans	$3,876
Health Net \| Commercial\|Interlink	$3,876

$2,115cash price (self-pay)

$5,537list price

$3,322–$4,374range insurers pay

Insurance plan	Negotiated rate
Other \| Commercial\|NTN	$3,322
First Health \| Commercial\|All Plans	$3,876
MultiPlan \| Commercial\|All Plans	$4,374

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