CT abdomen and pelvis with contrast at St. Charles Parish Hospital. CPT 74177.
What St. Charles Parish Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$469cash price (self-pay)
$1,736list price
$129–$1,476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Military � Tricare - Behavioral Health | All Payor | $129 |
| Magnolia Health Plan�Mississippi Managed Medicaid | All Payor | $285 |
| Molina Healthcare Of Mississippi�Managed Medicaid | All Payor | $285 |
| Triwest Military - Tricare | All Payor | $312 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $328 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $328 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $328 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $328 |
| Humana � Medicare Advantage | All Payor | $328 |
| Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $328 |
| Ochsner Health Plan | All Payor | $328 |
| Optum Va Ccn | All Payor | $328 |
| Peoples Health Network � Medicare Advantage | All Payor | $328 |
| United Healthcare - Medicare Advantage | All Payor | $328 |
| Cigna Healthcare | All Payor | $441 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $728 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $728 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $728 |
| Blue Cross Blue Shield Of Louisiana Community Blue | All Payor | $728 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $728 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $788 |
| Healthy Blue (Healthy Louisiana) | All Payor | $788 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $788 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $788 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $788 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $812 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $816 |
| United Healthcare - Commercial HMO PPO | All Payor | $828 |
| Zelis | All Payor | $1,042 |
| Aetna Health Inc. PPO/POS | All Payor | $1,215 |
Inpatient
$469cash price (self-pay)
$1,736list price
—range insurers pay
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