CT abdomen and pelvis with contrast at Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.). CPT 74177.
What Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$693cash price (self-pay)
$1,873list price
$348–$824range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana PPO Mcr Replacement | 1595_medicare Advantage Humana PPO Outpat | $351 |
| Bc Advantage Mcr Replacement | 1586_medicare Advantage Blue Cross Outp | $358 |
| Blue Cross Alignment | 1585_medicare Advantage Alignment Healthcare Ou | $358 |
| Community Hospice | 1590_medicare Advantage Community Hospice Outpatie | $358 |
| Coventry Mcr Replacement HMO | 1591_medicare Advantage Coventry HMO Ou | $358 |
| Haven Hospice | 1592_medicare Advantage Haven Hospice Outpatient 20250 | $358 |
| Medicare Replacement | 1597_medicare Advantage Outpatient 20250101 | $358 |
| Research Study Encore Borland-Groover | 1668_research Study Encore-Bor | $358 |
| Veterans Administration | 1581_veterans Administration Outpatient 2025 | $358 |
| Wellcare | 1662_medicare Advantage Wellcare Outpatient 20250101 | $358 |
| Cigna Healthspring | 1583_cigna Healthspring Outpatient 20250101 | $362 |
| Humana HMO Mcr Replacement | 1593_medicare Advantage Humana HMO Outpat | $362 |
| UHC Wellmed Mcr Replacement | 1714_medicare Advantage United Health CA | $362 |
| Careplus Mcr Replacement | 1588_medicare Advantage Careplus Outpatient | $366 |
| Gold Kidney Medicare Advantage | 1638_gold Kidney Medicare Advantage O | $366 |
| Aetna Mcr Replacement | 1584_medicare Advantage Aetna Outpatient 20250 | $369 |
| Cigna HMO New Business | 1698_cigna HMO New Business 20250701 | $375 |
| Inmate Health Care | 1135_inmate Health Care Outpatient 20220701 | $448 |
| Smarthealth | 1600_smarthealth Outpatient 20250101 | $502 |
| Bright Health | 1587_medicare Advantage Bright Health Outpatient 20250 | $520 |
| Aetna Qualified Health Plans | 1573_aetna Qualified Health Plans (Qhp) | $556 |
| Aetna Whole Health | 1575_aetna Whole Health Outpatient Scfl 20250101 | $556 |
| Oscar Health Plan | 1611_oscar Health Plan Outpatient 20250401 | $574 |
| Employer Direct Healthcare | 1743_employer Direct Healthcare Outpatien | $627 |
| 90 Degree Benefits | 1577_90 Degree Benefits Outpatient 20250101 | $645 |
| Avmed Exchange | 1720_avmed Exchange Outpatient 20250201 | $645 |
| Molina Exchange | 1579_molina Exchange Outpatient 20250101 | $663 |
| Occunet | 1578_medicare Advantage Occunet Outpatient 20250101 | $663 |
| Ambetter Commercial-Exchange | 1580_sunshine Ambetter Exchange Commerc | $681 |
| Cigna HMO | 1694_cigna HMO 20250701 | $693 |
Inpatient
—cash price (self-pay)
—list price
$348–$807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana HMO Cardiology Mcr Replacement | 1813_medicare Advantage Humana | $348 |
| Bc Advantage Mcr Replacement | 1786_medicare Advantage Blue Cross Inpa | $358 |
| Blue Cross Alignment | 1779_medicare Advantage Alignment Healthcare In | $358 |
| Coventry Mcr Replacement HMO | 1797_medicare Advantage Coventry HMO In | $358 |
| Humana PPO Mcr Replacement | 1800_medicare Advantage Humana PPO Inpati | $358 |
| Medicare Replacement | 1801_medicare Advantage Inpatient 20251001 | $358 |
| Research Study Encore Borland-Groover | 1808_research Study Encore-Bor | $358 |
| Veterans Administration | 1781_veterans Administration Inpatient 20251 | $358 |
| Wellcare | 1803_medicare Advantage Wellcare Inpatient 20251001 | $358 |
| Humana HMO Mcr Replacement | 1798_medicare Advantage Humana HMO Inpati | $362 |
| UHC Wellmed Mcr Replacement | 1802_medicare Advantage United Health CA | $362 |
| Careplus Mcr Replacement | 1788_medicare Advantage Careplus Inpatient | $366 |
| Cigna Healthspring | 1777_cigna Healthspring Inpatient 20251001 | $366 |
| Gold Kidney Medicare Advantage | 1811_gold Kidney Medicare Advantage I | $366 |
| Aetna Mcr Replacement | 1795_medicare Advantage Aetna Inpatient 202510 | $369 |
| Inmate Health Care | 1794_inmate Health Care Inpatient Scfl 20251001 | $448 |
| Bright Health | 1787_medicare Advantage Bright Health Inpatient Scfl 2 | $484 |
| Smarthealth | 1778_smarthealth Inpatient 20251001 | $502 |
| Aetna Qualified Health Plans | 1789_aetna Qualified Health Plans (Qhp) | $556 |
| Aetna Whole Health | 1791_aetna Whole Health Inpatient Scfl 20251001 | $556 |
| Oscar Health Plan | 1806_oscar Health Plan Inpatient 20251001 | $574 |
| Employer Direct Healthcare | 1742_employer Direct Healthcare Inpatient | $627 |
| 90 Degree Benefits | 1782_90 Degree Benefits Inpatient 20251001 | $645 |
| Avmed Exchange | 1793_avmed Exchange Inpatient 20251001 | $645 |
| Molina Exchange | 1805_molina Exchange Inpatient 20251001 | $663 |
| Ambetter Commercial-Exchange | 1785_sunshine Ambetter Exchange Commerc | $681 |
| Aetna New Business | 1783_aetna New Business Discount Inpatient Scfl 2 | $735 |
| Occunet | 1780_medicare Advantage Occunet Inpatient 20251001 | $807 |
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All common services at Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.)