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CT abdomen and pelvis with contrast at St Marys Health. CPT 74177.

What St Marys Health publishes for this service, straight from its standard-charges file, last updated July 20, 2026.

Outpatient / ER

$179cash price (self-pay)
$2,560list price
$80.22–$9,216range insurers pay
Insurance planNegotiated rate
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$148
Blue Cross Cpn | Blue Cross Cpn$751
Blue Cross Qhp/Qep/Cco | Blue Cross Qhp/Qep/Cco$908
Blue Cross - All Other Plans | Blue Cross - All Other Plans$1,000
Regence Blue Shield Mcr | Regence Blue Shield Mcr$1,090
Tricare/Triwest Ccn - All Plans | Tricare/Triwest Ccn - All Plans$1,090
UHC Mcr Adv | UHC Mcr Adv$1,090
Veterans Admin - All Plans | Veterans Admin - All Plans$1,090
Pacific Source Medicare- All Plans | Pacific Source Medicare- All Plan$1,096
Nimiipuu Mcr Adv - Allplans | Nimiipuu Mcr Adv - Allplans$1,100
Blue Cross Mcr Adv | Blue Cross Mcr Adv$1,106
Aetna - All Other Plans | Aetna - All Other Plans$1,255
Idaho Phys Network - All Plans | Idaho Phys Network - All Plans$1,329
Blue Cross Mcaid | Blue Cross Mcaid$1,347
Multiplan - All Plans | Multiplan - All Plans$1,356
Geha - All Plans | Geha - All Plans$1,357
First Choice- All Plans | First Choice- All Plans$1,371
Corizon Correctional - All Plans | Corizon Correctional - All Plans$1,382
Aetna Mcr Adv | Aetna Mcr Adv$2,099
Regence Blue Shield - All Other Plans | Regence Blue Shield - All Othe$9,216
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