CT abdomen and pelvis with contrast at St Marys Health Care System. CPT 74177.
What St Marys Health Care System publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$1,998cash price (self-pay)
$3,074list price
$1.03–$2,459range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centene | Medicaid | $1.03 |
| Cigna | All products | $258 |
| Amerigroup | Medicaid/Peachcare | $289 |
| Peach State | Medicaid | $298 |
| Anthem BCBS | Medicare Advantage | $356 |
| Care Improvement Plus | Medicare Advantage | $356 |
| Kaiser Permanente | Medicare Advantage | $356 |
| Wellcare | Medicare Advantage | $356 |
| UHC | Medicare Advantage | $366 |
| Aetna | Medicare Advantage | $374 |
| Coventry | Medicare Advantage | $374 |
| Molina | Medicare Advantage | $374 |
| Humana | Medicare Advantage | $375 |
| Centene | Medicare Advantage | $377 |
| Cigna HealthSpring | Medicare Advantage | $377 |
| Caresource | Medicare Advantage | $381 |
| Pruitthealth Premier | Medicare Advantage | $385 |
| Eon Health Plan | Medicare Advantage | $392 |
| Anthem | PPO | $416 |
| Anthem | Pathway Program | $416 |
| Caresource | Marketplace | $568 |
| Friday Health Plan | Commercial | $641 |
| Anthem | HMO | $775 |
| Aetna | All Products | $1,808 |
| Evolutions PPO | All Products | $2,459 |
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