CT abdomen and pelvis with contrast at Saint Luke's South Hospital. CPT 74177.
What Saint Luke's South Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$6,546cash price (self-pay)
$10,910list price
$181–$10,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $304 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $349 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $362 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $362 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $371 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $411 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $411 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care Blue PPO [400 | $411 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $413 |
| Aetna [5000] | Aetna Local [50005] | $422 |
| Aetna [5000] | Aetna Meritain Local [50015] | $422 |
| Aetna [5000] | Aetna Meritain National [50001] | $422 |
| Aetna [5000] | Aetna National [50006] | $422 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $422 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $422 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $422 |
| Blue Cross Blue Shield [4000] | Zzzbc Preferred Care Blue Slhs [40027] | $730 |
| Cigna [7000] | Cigna [70002] | $806 |
| Cigna [7000] | Cigna Healthpartners [70012] | $806 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $806 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $806 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $920 |
| Cigna [7000] | Cigna Indemnity [70004] | $1,689 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $4,910 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $4,910 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $4,910 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $4,910 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $7,266 |
| Blue Cross Blue Shield [4000] | Freedom Network Php [40002] | $7,266 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $7,975 |
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