CT abdomen and pelvis with contrast at Saint Francis Hospital and Medical Center. CPT 74177.
What Saint Francis Hospital and Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,744cash price (self-pay)
$3,171list price
$386–$2,695range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $418 |
| Connecticut Dept Of Correction | Connecticut Dept Of Corrections | $431 |
| Aetna | Aetna Whole Health | $451 |
| Health Partners | Cigna | $455 |
| Cigna | Cigna | $455 |
| Allegiance | Cigna | $455 |
| Magnacare | Cigna | $455 |
| Nippon Life Ins | Aetna | $564 |
| Hap | Aetna | $564 |
| 1199 National Benefit Fund | Aetna | $564 |
| Aetna | Aetna | $564 |
| Allied Benefit Systems | Aetna | $564 |
| Luminare Health | Aetna | $564 |
| Meritain | Aetna | $564 |
| Gravie Admin Services | Aetna | $564 |
| Webtpa | Aetna | $564 |
| Harvard Pilgrim Healthcare | United Healthcare | $611 |
| Geha | United Healthcare | $611 |
| United Healthcare | United Healthcare | $611 |
| United Healthcare | United Healthcare Nexus | $611 |
| Connecticare | Connecticare Cbi | $685 |
| Connecticare | Connecticare Commercial | $838 |
| Blue Cross - Nv (Anthem) | Anthem | $1,454 |
| Blue Cross - Mt | Anthem | $1,454 |
| Blue Cross - Nh (Anthem) | Anthem | $1,454 |
| Blue Cross - Nj (Horizon) | Anthem | $1,454 |
| Blue Cross - NY (Anthem) | Anthem | $1,454 |
| Blue Cross - Nm | Anthem | $1,454 |
| Blue Cross - FL | Anthem | $1,454 |
| Blue Cross - Dc (Carefirst) | Anthem | $1,454 |
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All common services at Saint Francis Hospital and Medical Center