CT abdomen and pelvis with contrast at St. Anthony Summit Medical Center. CPT 74177.
What St. Anthony Summit Medical Center publishes for this service, straight from its standard-charges file, last updated February 3, 2026.
Outpatient / ER
$2,379cash price (self-pay)
$5,947list price
$221–$5,471range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Managed Medicare | $221 |
| Anthem Blue Cross Blue Shield | Managed Medicare | $221 |
| Cigna Healthcare | Managed Medicare | $221 |
| Devoted Health | Managed Medicare | $221 |
| Humana | Managed Medicare | $221 |
| Kaiser | Managed Medicare | $221 |
| Managed Medicare | Managed Medicare | $221 |
| Medicare | Medicare | $221 |
| Optum Care Network | Managed Medicare | $221 |
| United Healthcare | Managed Medicare | $221 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $337 |
| Anthem Blue Cross Blue Shield | Commercial Mountain Enhanced Public Op | $350 |
| Anthem Blue Cross Blue Shield | Commercial Mountain Enhanced | $574 |
| Direct to Employer | Breckenridge Grand Vacations | $659 |
| Peak Health | Commercial PPO/POS/HMO | $680 |
| Direct to Employer | Town of Breckenridge | $714 |
| Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | $997 |
| Anthem Blue Cross Blue Shield | Commercial Pathways | $1,626 |
| Denver Health | Commercial PPO/POS/HMO | $1,766 |
| Anthem Blue Cross Blue Shield | Commercial Pathways Public Options | $2,729 |
| Denver Health | Summit County Government | $3,568 |
| Direct to Employer | Commercial PPO/POS/HMO/EPO | $3,568 |
| Direct to Employer | Denver Public Schools | $3,568 |
| United Colorado Doctor's Plan | Commercial Naviagate EPO | $4,228 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $4,698 |
| Cigna Healthcare | Commercial Local Plus | $4,847 |
| Cigna Healthcare | Commercial PPO/POS/HMO | $5,114 |
| Aetna | Commercial PPO/POS/HMO | $5,174 |
| Anthem Blue Cross Blue Shield | Commercial Indemnity | $5,233 |
| Aetna Rental Network | Commercial PPO/POS/HMO | $5,352 |
Inpatient
$2,379cash price (self-pay)
$5,947list price
$1,609–$5,471range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Commercial Mountain Enhanced Public Op | $1,609 |
| Denver Health | Commercial PPO/POS/HMO | $1,766 |
| Anthem Blue Cross Blue Shield | Commercial Pathways Public Options | $2,729 |
| Direct to Employer | Breckenridge Grand Vacations | $3,509 |
| Denver Health | Summit County Government | $3,568 |
| Direct to Employer | Commercial PPO/POS/HMO/EPO | $3,568 |
| Direct to Employer | Denver Public Schools | $3,568 |
| Cigna Healthcare | Commercial Local Plus | $4,847 |
| Cigna Healthcare | Commercial PPO/POS/HMO | $5,114 |
| Aetna | Commercial PPO/POS/HMO | $5,174 |
| Anthem Blue Cross Blue Shield | Commercial Indemnity | $5,233 |
| Aetna Rental Network | Commercial PPO/POS/HMO | $5,352 |
| Multiplan | Commercial Complementary/Primary | $5,471 |
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