CT abdomen and pelvis with contrast at SSM Health Saint Louis University Hospital. CPT 74177.
What SSM Health Saint Louis University Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,063cash price (self-pay)
$3,750list price
$252–$1,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Anthem Medicare Managed Care Plan | $342 |
| Aetna | Medicare Managed Care Plan | $349 |
| Centene | Wellcare Medicare Managed Care - PPO | $353 |
| Humana | Medicare Managed Care Plan | $355 |
| Aetna | Advantra Medicare Managed Care Plan | $356 |
| Essence | Medicare Managed Care Plan | $360 |
| BCBS | Anthem Pathway Exchange | $417 |
| Oscar | Exchange | $419 |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $426 |
| BCBS | Anthem Blue Preferred HMO/POS | $426 |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $468 |
| BCBS | Anthem Blue Access PPO | $614 |
| UnitedHealthCare | Options PPO | $791 |
| Healthlink | HMO | $1,078 |
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All common services at SSM Health Saint Louis University Hospital