CT abdomen and pelvis with contrast at St. Luke's McCall Standard Charges. CPT 74177.
What St. Luke's McCall Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$2,263cash price (self-pay)
$2,263list price
$1,313–$2,172range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $1,313 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $1,313 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $1,313 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $1,313 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $1,313 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $1,313 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $1,313 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $1,313 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $1,326 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $1,339 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $1,339 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $1,444 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $1,810 |
| Commercial [1028] | Hb Mccall Amps | $1,924 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $1,924 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $1,991 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $1,991 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $1,991 |
| Commercial [1028] | Hb Mccall Moda Commercial | $1,991 |
| Moda [1055] | Hb Mccall Moda Commercial | $1,991 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $2,037 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $2,037 |
| Cigna [1062] | Hb Mccall Cigna | $2,105 |
| Commercial [1028] | Hb Mccall Cigna | $2,105 |
| Providence [1022] | Hb Mccall Cigna | $2,105 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $2,127 |
| Aetna [1021] | Hb Mccall Bp Aetna | $2,150 |
| Commercial [1028] | Hb Mccall Bp Aetna | $2,150 |
| Commercial [1028] | Hb Mccall First Choice Health | $2,150 |
| First Health [1064] | Hb Mccall First Choice Health | $2,150 |
Inpatient
$3,763cash price (self-pay)
$3,763list price
$2,183–$3,612range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $2,183 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $2,183 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $2,183 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $2,183 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $2,183 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $2,183 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $2,183 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $2,183 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $2,204 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $2,226 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $2,226 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $2,401 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $3,010 |
| Commercial [1028] | Hb Mccall Amps | $3,199 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $3,199 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $3,311 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $3,311 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $3,311 |
| Commercial [1028] | Hb Mccall Moda Commercial | $3,311 |
| Moda [1055] | Hb Mccall Moda Commercial | $3,311 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $3,387 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $3,387 |
| Cigna [1062] | Hb Mccall Cigna | $3,500 |
| Commercial [1028] | Hb Mccall Cigna | $3,500 |
| Providence [1022] | Hb Mccall Cigna | $3,500 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $3,537 |
| Aetna [1021] | Hb Mccall Bp Aetna | $3,575 |
| Commercial [1028] | Hb Mccall Bp Aetna | $3,575 |
| Commercial [1028] | Hb Mccall First Choice Health | $3,575 |
| First Health [1064] | Hb Mccall First Choice Health | $3,575 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.