CT abdomen and pelvis with contrast at St Mary Medical Center. CPT 74177.
What St Mary Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,810cash price (self-pay)
$5,855list price
$449–$2,852range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $449 |
| Heritage Provider Network | All Commercial Plans | $505 |
| Unitedhealthcare | All Commercial Plans | $611 |
| Unitedhealthcare | Select/Navigate Hmo | $611 |
| Kaiser | All Commercial Plans | $1,138 |
| Aetna | All Commercial Plans | $1,457 |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,377 |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,852 |
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