CT abdomen and pelvis with contrast at Shriners Children's St. Louis. CPT 74177.
What Shriners Children's St. Louis publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$3,175cash price (self-pay)
$3,175list price
$225–$714range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HMO | $225 |
| Anthem | PPO | $225 |
| Anthem | Traditional | $225 |
| Aetna Better Health of KS | Managed Medicaid | $252 |
| Centene Sunflower State Health Plan | Mgd Medicaid | $252 |
| Soonercare | Managed Medicaid | $254 |
| Centene Home State Health Plan | Mgd. Medicaid | $304 |
| Missouri Care | Managed Medicaid | $304 |
| Cigna | Commercial | $306 |
| United Healthcare of the Midwest | Managed Medicai | $344 |
| Healthlink | HMO | $379 |
| Healthlink | PPO | $379 |
| United Healthcare | Nat | $382 |
| Aetna National | Commercial | $410 |
| Providence Health Plan | Commercial | $460 |
| HealthChoice of Oklahoma | Commercial | $714 |
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