CT abdomen and pelvis with contrast at SSM Health DePaul Hospital - St. Louis. CPT 74177.
What SSM Health DePaul Hospital - St. Louis publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,309cash price (self-pay)
$4,199list price
$220–$1,211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Anthem Pathway Exchange | $328 |
| Aetna | Medicare Managed Care Plan | $349 |
| Aetna | Gold Advantage Medicare Managed Care Plan | $353 |
| UnitedHealthCare | Medicare Managed Care Plan | $355 |
| BCBS | Anthem Medicare Managed Care Plan | $355 |
| Humana | Medicare Managed Care Plan | $355 |
| Aetna | Advantra Medicare Managed Care Plan | $362 |
| BCBS | Anthem Blue Preferred HMO/POS | $411 |
| BCBS | Anthem Blue Access Choice PPO | $414 |
| Oscar | Exchange | $419 |
| UnitedHealthCare | Options PPO | $736 |
| UnitedHealthCare | All Commercial Plans | $755 |
| UnitedHealthCare | St. Louis University Employee | $755 |
| BCBS | Anthem Blue Access PPO | $850 |
| Healthlink | Employers Choice All Commercial Plans | $863 |
| Healthlink | HMO | $863 |
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All common services at SSM Health DePaul Hospital - St. Louis