CT abdomen and pelvis with contrast at CHI Saint Joseph Health - Saint Joseph Hospital. CPT 74177.
What CHI Saint Joseph Health - Saint Joseph Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,884cash price (self-pay)
$4,000list price
$340–$3,640range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Commercial|Pathway | $340 |
| BCBS - Anthem | Medicare|All Plans | $351 |
| Humana | Medicare|All Plans | $351 |
| Wellcare | Medicare|All Plans | $351 |
| BCBS - Anthem | Commercial|HMO PPO | $354 |
| Aetna | Medicare|All Plans | $361 |
| United | Medicare|All Plans | $365 |
| Passport by Molina | Medicare|All Plans | $368 |
| Humana | Commercial|All Plans | $631 |
| CareSource | Commercial|All Plans | $702 |
| Passport by Molina | Medicaid|All Plans | $940 |
| Humana | Medicaid|All Plans | $1,058 |
| Aetna | Medicaid|Better Health | $1,080 |
| United | Commercial|All Other Plans | $1,094 |
| United | Medicaid|All Plans | $1,102 |
| Wellcare | Medicaid|All Plans | $1,112 |
| BCBS - Anthem | Medicaid|All Plans | $1,134 |
| Aetna | Commercial|All Other Plans | $2,520 |
| Aetna | Commercial|HMO | $2,520 |
| Aetna | Commercial|PPO | $2,520 |
| Cigna | Commercial|All Other Plans | $2,520 |
| Cigna | Commercial|PPO | $2,520 |
| United | Commercial|PPO | $3,280 |
| Multiplan | Commercial|All Plans | $3,640 |
Inpatient
$1,884cash price (self-pay)
$4,000list price
$3,640–$3,640range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Commercial|All Plans | $3,640 |
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All common services at CHI Saint Joseph Health - Saint Joseph Hospital