CT abdomen and pelvis with contrast at Providence Saint Joseph Medical Center. CPT 74177.
What Providence Saint Joseph Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,046cash price (self-pay)
$5,829list price
$449–$1,468range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $449 |
| Aetna | Aco Other Commercial Plan | $456 |
| Humana | Medicare Managed Care Plan | $458 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $470 |
| Central Health Plan | Medicare Managed Care Plan | $494 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $529 |
| Aetna | All Commercial Plans | $574 |
| La Care Health Plan | Exchange | $583 |
| Unitedhealthcare | All Commercial Plans | $611 |
| Unitedhealthcare | Select/Navigate Hmo | $611 |
| Healthnet | Ambetter Hmo | $830 |
| Healthnet | Ambetter Ppo | $960 |
| Blue Shield | Medicare Managed Care Plan | $1,207 |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,231 |
| Blue Cross | All Commercial Plans | $1,299 |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,324 |
| Blue Shield | Hmo/Ppo/Epo | $1,468 |
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All common services at Providence Saint Joseph Medical Center