CT abdomen and pelvis with contrast at Ochsner St. Anne Hospital. CPT 74177.
What Ochsner St. Anne Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$688cash price (self-pay)
$1,564list price
$285–$1,497range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnolia Health Plan�Mississippi Managed Medicaid | All Payor | $285 |
| Molina Healthcare Of Mississippi�Managed Medicaid | All Payor | $285 |
| Triwest Military � Tricare - Behavioral Health | All Payor | $435 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $466 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $466 |
| Healthy Blue (Healthy Louisiana) | All Payor | $476 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $476 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $480 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $480 |
| Triwest Military - Tricare | All Payor | $484 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $485 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $485 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $485 |
| Humana � Medicare Advantage | All Payor | $485 |
| Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $485 |
| Ochsner Health Plan | All Payor | $485 |
| Optum Va Ccn | All Payor | $485 |
| Peoples Health Network � Medicare Advantage | All Payor | $485 |
| United Healthcare - Commercial HMO PPO | All Payor | $828 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $970 |
| Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $970 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $991 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $1,019 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $1,019 |
| Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Payor | $1,019 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $1,160 |
| Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $1,173 |
| Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $1,173 |
| Mississippi Physicians Care Network | All Payor | $1,173 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $1,209 |
Inpatient
$688cash price (self-pay)
$1,564list price
—range insurers pay
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