CT abdomen and pelvis with contrast at Essentia Health-St. Mary's Children's Hospital (Duluth). CPT 74177.
What Essentia Health-St. Mary's Children's Hospital (Duluth) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,511cash price (self-pay)
$3,804list price
$357–$3,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Med Care | Medicaid | $357 |
| Advocare/Security Health | Medicare | $358 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $358 |
| Freedom Blue PPO | Medicare | $358 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $358 |
| IMCARE MSHO (REF REQ) | Medicare | $358 |
| IMCARE MSHO PCC PRIME | Medicare | $358 |
| IMCARE MSHO REF REQ | Medicare | $358 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $358 |
| MEDICA MSHO/Dual Solutions | Medicare | $358 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $358 |
| MEDICARE ADV PFFS | Medicare | $358 |
| ND VA ADMINISTRATION | Medicare | $358 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $358 |
| PRIMEWEST MSHO | Medicare | $358 |
| Platinum Blue / Vantage Blue | Medicare | $358 |
| SECURE BLUE MSHO | Medicare | $358 |
| SECURITY HEALTH MEDICARE | Medicare | $358 |
| Primewest | Medicaid | $371 |
| Sanford Health Plan | Commercial-NDPERS | $1,132 |
| Sanford Health Plan | Commercial | $1,175 |
| Medica Access | Medicaid | $1,259 |
| MN BCBS Commercial | BCBS MN | $1,299 |
| HealthPartners CARE PMAP | Medicaid | $1,514 |
| Blue Plus PMAP PCC Prime | Medicaid | $1,679 |
| BCBS Mn | Shp | $1,680 |
| Medica Uplan | Commercial | $2,104 |
| Medica | Commercial-FI | $2,104 |
| Medica | Commercial-SI | $2,161 |
| HealthPartners | SHP | $2,279 |
Inpatient
$2,511cash price (self-pay)
$3,804list price
$1,632–$3,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial-NDPERS | $1,632 |
| BCBS Mn | Shp | $1,680 |
| Sanford Health Plan | Commercial | $1,718 |
| Blue Plus PMAP PCC Prime | Medicaid | $1,902 |
| MN BCBS Commercial | BCBS MN | $2,092 |
| UCare | Commercial | $2,503 |
| WEA | Commercial-Narrow Network | $2,739 |
| BCBS WI | Commercial | $2,891 |
| Security Health | Commercial | $2,929 |
| WEA | Commercial | $2,929 |
| America's PPO | Commercial | $2,948 |
| WPS | Commercial | $3,157 |
| Aetna First Health | Commercial | $3,233 |
| HealthScope Benefits | Commercial | $3,233 |
| HealthEOS | Commercial | $3,271 |
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All common services at Essentia Health-St. Mary's Children's Hospital (Duluth)