CT abdomen and pelvis with contrast at CHI Saint Joseph Health - Flaget Memorial Hospital. CPT 74177.

What CHI Saint Joseph Health - Flaget Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,781cash price (self-pay)

$4,197list price

$342–$3,819range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicare\|All Plans	$342
Humana \| Medicare\|All Plans	$342
Wellcare \| Medicare\|All Plans	$342
United \| Medicare\|All Plans	$349
Aetna \| Medicare\|All Plans	$352
Passport by Molina \| Medicare\|All Plans	$359
Humana \| Commercial\|All Plans	$631
CareSource \| Commercial\|All Plans	$684
Humana \| Medicaid\|All Plans	$740
Aetna \| Medicaid\|Better Health	$755
United \| Medicaid\|Community Plan	$771
BCBS - Anthem \| Medicaid\|All Plans	$793
Passport by Molina \| Medicaid\|All Plans	$816
Wellcare \| Medicaid\|All Plans	$914
BCBS - Anthem \| Commercial\|Pathway	$1,051
BCBS - Anthem \| Commercial\|HMO PPO	$1,243
United \| Commercial\|Non-Options	$1,923
United \| Commercial\|Options	$1,923
Cigna \| Commercial\|All Other Plans	$3,190
Cigna \| Commercial\|PPO	$3,190
Aetna \| Commercial\|All Other Plans	$3,358
Aetna \| Commercial\|HMO	$3,358
Aetna \| Commercial\|PPO	$3,358
Multiplan \| Commercial\|All Plans	$3,819

Inpatient

$1,781cash price (self-pay)

$4,197list price

$3,064–$3,819range insurers pay

Insurance plan	Negotiated rate
Cigna \| Commercial\|All Other Plans	$3,064
Cigna \| Commercial\|PPO	$3,064
Aetna \| Commercial\|All Other Plans	$3,232
Aetna \| Commercial\|HMO	$3,232
Aetna \| Commercial\|PPO	$3,232
Multiplan \| Commercial\|All Plans	$3,819

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All common services at CHI Saint Joseph Health - Flaget Memorial Hospital