CT abdomen and pelvis with contrast at Missouri Baptist Sullivan Hospital. CPT 74177.
What Missouri Baptist Sullivan Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$3,217cash price (self-pay)
$5,362list price
$349–$4,732range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Choice Rural | $495 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Preferred Mhs | $706 |
| Cox Health [757] | Bjc Hb Medicare Coxhealth Mhs | $1,239 |
| BCBS Medicare Alt [649] | Bjc Hb Medicare Anthem Advantage Mhs | $1,250 |
| BCBS Medicare Oos IL [612] | Bjc Hb Medicare Anthem Advantage Mhs | $1,250 |
| Medica [662] | Bjc Hb Medicare Wellfirst Mhs | $1,262 |
| Devoted Health Plan [847] | Bjc Hb Medicare Devoted Mhs | $1,295 |
| Sarah Bush Lincoln [636] | Bjc Hb Consociate Care Coe Community | $1,388 |
| Consociate [478] | Bjc Hb Consociate Care Coe Community | $1,388 |
| Consociate [478] | Bjc Hb Consociate Care D2e Community | $1,388 |
| Health Alliance [224] | Bjc Hb Health Alliance Community | $1,500 |
| Healthlink [225] | Bjc Hb Healthlink Soi Rural | $2,601 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Aca | $2,949 |
| Allied Benefits [498] | Bjc Hb Hope Trust | $3,110 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Network | $3,217 |
| Allied Benefits [498] | Bjc Hb Aetna Commercial Rural | $3,233 |
| Coresource [497] | Bjc Hb Aetna Commercial Rural | $3,233 |
| Fmh Benefit Service Inc [222] | Bjc Hb Aetna Commercial Rural | $3,233 |
| Cigna [202] | Bjc Hb Cigna Local Plus Rural | $3,265 |
| Med-Pay [480] | Bjc Hb Healthlink HMO Rural | $3,485 |
| Priority Health [648] | Bjc Hb Cigna HMO/PPO Rural | $3,684 |
| Apwu Health Plan [216] | Bjc Hb Cigna HMO/PPO Rural | $3,684 |
| Allied Benefits [498] | Bjc Hb First Health Rural | $3,984 |
| Aetna [200] | Bjc Hb Aetna National | $3,984 |
| First Health Commercial [734] | Bjc Hb First Health Rural | $3,984 |
| Beechstreet [551] | Bjc Hb Multiplan | $4,022 |
| Med-Pay [480] | Bjc Hb St Johns Health System | $4,022 |
| Multiplan [240] | Bjc Hb Multiplan | $4,022 |
| Multiplan Commercial [737] | Bjc Hb Multiplan | $4,022 |
| Aetna [200] | Bjc Hb Group Health Plan PPO Select | $4,022 |
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