CT abdomen and pelvis with contrast at St. Mary's Medical Center. CPT 74177.
What St. Mary's Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$4,011list price
$359–$3,891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS/Anthem | BCBS Co Pathway | $1,326 |
| BCBS/Anthem | BCBS Co Exchange Plan | $1,483 |
| BCBS/Anthem | BCBS Co Federal | $1,483 |
| BCBS/Anthem | BCBS Co HMO | $1,483 |
| BCBS/Anthem | BCBS Co Indemnity | $1,483 |
| BCBS/Anthem | BCBS Co PPO | $1,483 |
| Monument Health | UHC Rocky Monument Exchange HMO | $2,009 |
| Monument Health | UHC Rocky Monument Exchange HMO HDHP | $2,009 |
| Monument Health | UHC Rocky Monument Ind HMO | $2,009 |
| Monument Health | UHC Rocky Monument Ind HMO HDHP | $2,009 |
| Cigna | Cigna Local Plus | $2,475 |
| Cigna | Cigna HMO | $2,754 |
| Cigna | Cigna Indemnity | $2,754 |
| Cigna | Cigna Other | $2,754 |
| Cigna | Cigna POS/Qpos | $2,754 |
| Cigna | Cigna PPO | $2,754 |
| Cigna | Eighth Dist Elect Ben Pln | $2,754 |
| Cigna | Health-Partners | $2,754 |
| Allegiance | Cigna Sclhs Employees | $2,869 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $2,869 |
| Aetna | Aetna Colorado Preferred | $3,024 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $3,255 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $3,255 |
| Aetna | Aetna HMO/EPO | $3,357 |
| Aetna | Aetna Indemnity | $3,357 |
| Aetna | Aetna POS/Qpos | $3,357 |
| Aetna | Aetna PPO | $3,357 |
| Aetna | Aetna Src | $3,357 |
| Geha | Geha-Asa | $3,357 |
| Meritain Health | Meritain Health | $3,357 |
Inpatient
—cash price (self-pay)
$4,011list price
$1,607–$3,891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Rocky Mountain HMO | $1,607 |
| Umr United Med Resources | Umr Mesa Cnty Valley School Dist 51 | $1,925 |
| Monument Health | UHC Rocky Monument Exchange HMO | $2,009 |
| Monument Health | UHC Rocky Monument Exchange HMO HDHP | $2,009 |
| Monument Health | UHC Rocky Monument Ind HMO | $2,009 |
| Monument Health | UHC Rocky Monument Ind HMO HDHP | $2,009 |
| Monument Health | Umr Monument Health Network | $2,009 |
| Cigna | Cigna Local Plus | $2,475 |
| Cigna | Cigna HMO | $2,754 |
| Cigna | Cigna Indemnity | $2,754 |
| Cigna | Cigna Other | $2,754 |
| Cigna | Cigna POS/Qpos | $2,754 |
| Cigna | Cigna PPO | $2,754 |
| Cigna | Eighth Dist Elect Ben Pln | $2,754 |
| Cigna | Health-Partners | $2,754 |
| Allegiance | Cigna Sclhs Employees | $2,869 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $2,869 |
| Aetna | Aetna Colorado Preferred | $3,024 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $3,255 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $3,255 |
| Aetna | Aetna HMO/EPO | $3,357 |
| Aetna | Aetna Indemnity | $3,357 |
| Aetna | Aetna POS/Qpos | $3,357 |
| Aetna | Aetna PPO | $3,357 |
| Aetna | Aetna Src | $3,357 |
| Geha | Geha-Asa | $3,357 |
| Meritain Health | Meritain Health | $3,357 |
| Choicecare Humana | Choicecare Humana HMO EPO | $3,530 |
| Choicecare Humana | Choicecare Humana PPO | $3,530 |
| Choicecare Humana | Choicecare Humana Secondary Other | $3,530 |
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