CT abdomen and pelvis with contrast at CentraCare - St Cloud Hospital. CPT 74177.
What CentraCare - St Cloud Hospital publishes for this service, straight from its standard-charges file, last updated August 26, 2026.
Outpatient / ER
$1,466cash price (self-pay)
$2,528list price
$128–$1,448range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS MHCP | Medicaid | $223 |
| Health Partners MHCP | Medicaid | $343 |
| Health Partners MSHO | Medicare Advantage | $343 |
| BCBS | Medicare Advantage | $385 |
| Health Partners | Medicare Advantage | $385 |
| Medica | Medicare Advantage | $385 |
| Prime West | Medicare | $385 |
| United Healthcare VA | Commercial | $385 |
| South Country MHCP | Medicaid | $393 |
| South Country | Medicare | $397 |
| BCBS Pltnm Blue, Secure, MSHO | Medicare Advantage | $404 |
| Ucare | Commercial | $462 |
| Medica MHCP | Medicaid | $533 |
| Medica MSHO | Medicare Advantage | $625 |
| Optum MHCP | Medicaid | $775 |
| Health Partners | Commercial | $834 |
| BCBS Blue Cross/Blue Plus | Commercial | $1,040 |
| Medica IFB | Commercial | $1,128 |
| Medica | Commercial | $1,153 |
| United Healthcare All Payer | Commercial | $1,448 |
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