CT abdomen and pelvis with contrast at CHI Saint Joseph Health - Saint Joseph London. CPT 74177.
What CHI Saint Joseph Health - Saint Joseph London publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,552cash price (self-pay)
$7,153list price
$324–$6,509range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicare|All Plans | $324 |
| Humana | Medicare|All Plans | $324 |
| Wellcare | Medicare|All Plans | $324 |
| United | Medicare|All Plans | $330 |
| Aetna | Medicare|All Plans | $333 |
| Passport by Molina | Medicare|All Plans | $340 |
| Humana | Commercial|All Plans | $631 |
| CareSource | Commercial|All Plans | $647 |
| BCBS - Anthem | Commercial|Pathway | $692 |
| BCBS - Anthem | Commercial|HMO PPO | $817 |
| Passport by Molina | Medicaid|All Plans | $1,021 |
| Wellcare | Medicaid|All Plans | $1,202 |
| Aetna | Medicaid|Better Health | $1,502 |
| Humana | Medicaid|All Plans | $1,502 |
| United | Commercial|Non-Options | $1,532 |
| United | Commercial|Options | $1,532 |
| United | Medicaid|All Plans | $1,532 |
| BCBS - Anthem | Medicaid|All Plans | $1,577 |
| Multiplan | Commercial|All Plans | $6,509 |
Inpatient
$2,552cash price (self-pay)
$7,153list price
$6,509–$6,509range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Commercial|All Plans | $6,509 |
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All common services at CHI Saint Joseph Health - Saint Joseph London