CT abdomen and pelvis with contrast at Ochsner St. Mary. CPT 74177.
What Ochsner St. Mary publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$425cash price (self-pay)
$2,127list price
$138–$1,814range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Military � Tricare - Behavioral Health | All Payor | $138 |
| Healthy Blue (Healthy Louisiana) | All Payor | $269 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $269 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $269 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $269 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $277 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $277 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $325 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $325 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $325 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $325 |
| Humana � Medicare Advantage | All Payor | $325 |
| Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $325 |
| Ochsner Health Plan | All Payor | $325 |
| Optum Va Ccn | All Payor | $325 |
| Peoples Health Network � Medicare Advantage | All Payor | $325 |
| Triwest Military - Tricare | All Payor | $348 |
| Zelis | All Payor | $489 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $679 |
| Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $679 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $712 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $712 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $712 |
| Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Payor | $712 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $795 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $795 |
| United Healthcare - Commercial HMO PPO | All Payor | $846 |
| Verity Commercial And First Choice Network | All Payor | $1,149 |
| Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $1,234 |
| First Health Network | All Payor | $1,425 |
Inpatient
$425cash price (self-pay)
$2,127list price
—range insurers pay
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