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CT abdomen and pelvis with contrast at Saint Joseph Regional Medical Center-Plymouth Campus. CPT 74177.

What Saint Joseph Regional Medical Center-Plymouth Campus publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$188cash price (self-pay)
$188list price
$54.95–$6,388range insurers pay
Insurance planNegotiated rate
Molina Medicare Advantage | Medicare$78.80
Rx Allwin | Medicare$78.80
Priority Health Medicaid | Medicaid$136
Blue Cross Complete - Mi | Medicaid$136
United Healthcare Medicaid | Medicaid$136
Mclaren Health Medicaid | Medicaid$136
Blue Cross - In (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv$220
Aetna Medicare Advantage | Aetna Medicare Advantage$220
Blue Cross - CA (Anthem) | Anthem BCBS$744
Blue Cross - Ct (Anthem) | Anthem BCBS$744
Blue Cross - Co (Anthem) | Anthem BCBS$744
Blue Care Network | Anthem BCBS$744
Blue Shield - NY Highmark Northeastern | Anthem BCBS$744
Blue Shield - NY Highmark Western | Anthem BCBS$744
Blue Cross - Md (Carefirst) | Anthem BCBS$744
Blue Cross - Me (Anthem) | Anthem BCBS$744
Blue Cross - MA | Anthem BCBS$744
Blue Cross - Mt | Anthem BCBS$744
Blue Cross - Ms | Anthem BCBS$744
Blue Cross - Nh (Anthem) | Anthem BCBS$744
Blue Cross - Nv (Anthem) | Anthem BCBS$744
Blue Cross - Nj (Horizon) | Anthem BCBS$744
Blue Cross - NY (Anthem) | Anthem BCBS$744
Blue Cross - Nm | Anthem BCBS$744
Blue Cross - NY (Excellus) | Anthem BCBS$744
Blue Cross - IL | Anthem BCBS$744
Blue Cross - Ia (Wellmark) | Anthem BCBS$744
Blue Cross - Mn | Anthem BCBS$744
Blue Cross - Wi (Anthem) | Anthem BCBS$744
Blue Cross - IL Alternate | Anthem BCBS$744
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All common services at Saint Joseph Regional Medical Center-Plymouth Campus