CT abdomen and pelvis with contrast at Missouri Delta Medical Center. CPT 74177.
What Missouri Delta Medical Center publishes for this service, straight from its standard-charges file, last updated August 7, 2026.
Outpatient / ER
$1,076cash price (self-pay)
$4,304list price
$366–$3,443range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Medicare | $366 |
| AARP | Commercial | $366 |
| Aetna Coventry | Medicare | $366 |
| Ambetter Advantage | Medicare | $366 |
| Anthem BCBS | Medicare | $366 |
| Cigna | Medicare | $366 |
| Humana | Medicare | $366 |
| United Healthcare | Medicare | $366 |
| Missouri Medicaid | Medicaid | $520 |
| Ambetter Managed | Medicaid | $572 |
| United Healthcare | Medicaid | $572 |
| HealthScope | Commercial | $704 |
| Cigna | Commercial | $1,258 |
| Consociate | TPA | $1,377 |
| Anthem BCBS | Commercial | $1,467 |
| Anthem BCBS Preferred | Commercial | $1,467 |
| United Healthcare | Commercial | $2,066 |
| Aetna | Commercial | $3,013 |
| HealthLink | PPO | $3,178 |
| HealthLink | HMO | $3,178 |
| MultiPlan PHCS | Commercial | $3,443 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.