CT abdomen and pelvis with contrast at Saint John Hospital. CPT 74177.
What Saint John Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$328cash price (self-pay)
$5,196list price
$207–$4,157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $207 |
| BCBS | BCBS Commercial PPO Value Blue | $228 |
| UHC | UHC Medicaid | $313 |
| Celtic | Celtic Medicaid | $319 |
| Healthy Blue | Healthy Blue Medicaid (01/01/2025 to 12/31/2026) | $319 |
| Comp Alliance Workers Comp | Comp Alliance | $324 |
| Aetna | Aetna Medicare | $329 |
| Cigna | Cigna Healthspring | $329 |
| Ever north FKA Cigna Behavioral Health | Ever north FKA Cigna Behavior | $329 |
| Health Net Federal Service (Tricare) | Health Net Federal Service | $329 |
| Midland Care Connection | Midland Care Connection Medicare | $329 |
| Traditional Medicare | Traditional Medicare | $329 |
| Tricare | Tricare | $329 |
| UHC | UHC Medicare | $329 |
| UHC | UHC Va Ccn | $329 |
| Kansas Superior Select | Kansas Superior Medicare | $335 |
| Celtic | Celtic Medicare | $345 |
| Healthy Blue | Healthy Blue Medicare | $345 |
| OHA Networks | OHA NETWORKS WC | $349 |
| Worker Compensation | Worker Compensation | $360 |
| Celtic | Home State Health Plan Ins Exchange | $444 |
| BCBS | BCBS Commercial PPO Blue Choice | $456 |
| Corizon | Corizon | $460 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $460 |
| UHC | UHC Commercial Exchange | $460 |
| Well Path | WellPath | $460 |
| BCBS | BCBS Commercial Traditional | $480 |
| Centurion | Centurion | $493 |
| Naphcare | Naphcare | $509 |
| Celtic | Celtic Commercial Exchange | $526 |
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