CT abdomen and pelvis with contrast at Saint Marys Hospital. CPT 74177.
What Saint Marys Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,451cash price (self-pay)
$2,638list price
$338–$2,638range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Cigna | $338 |
| Magnacare | Cigna | $338 |
| Hap | Aetna | $602 |
| Gravie Admin Services | Aetna | $602 |
| Webtpa | Aetna | $602 |
| United Healthcare | United Healthcare | $611 |
| Geha | United Healthcare | $611 |
| Claimdoc | Claimdoc | $878 |
| Blue Cross - Hi | Anthem | $1,240 |
| Blue Cross - FL | Anthem | $1,240 |
| Blue Cross Domestic | Anthem | $1,240 |
| Blue Care Network | Anthem | $1,240 |
| Blue Cross - IL | Anthem | $1,240 |
| Blue Cross - Wi (Anthem) | Anthem | $1,240 |
| Wellpoint | Wellpoint | $1,240 |
| Blue Cross - Ak (Premera) | Anthem | $1,240 |
| Blue Cross - Al | Anthem | $1,240 |
| Bcn Domestic | Anthem | $1,240 |
| Blue Cross - Mt | Anthem | $1,240 |
| Blue Cross - MA | Anthem | $1,240 |
| Blue Cross - Ms | Anthem | $1,240 |
| Blue Cross - Mn | Anthem | $1,240 |
| Blue Cross - Ia (Wellmark) | Anthem | $1,240 |
| Blue Cross - Oh (Anthem) | Anthem | $1,240 |
| Blue Cross - Sd (Wellmark) | Anthem | $1,240 |
| Blue Cross - Nd | Anthem | $1,240 |
| Blue Cross - Ne | Anthem | $1,240 |
| Blue Cross - Mo (Anthem) | Anthem | $1,240 |
| Blue Cross - Md (Carefirst) | Anthem | $1,240 |
| Blue Cross - La | Anthem | $1,240 |
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