CT abdomen and pelvis with contrast at SSM Health St. Mary's Hospital - Jefferson City. CPT 74177.
What SSM Health St. Mary's Hospital - Jefferson City publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,117cash price (self-pay)
$3,850list price
$348–$998range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthCare | Medicare Managed Care Plan | $348 |
| Centene Wellcare | Medicare Managed Care Plan | $349 |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $355 |
| Humana | Medicare Managed Care Plan | $355 |
| Essence | Medicare Managed Care Plan | $367 |
| Centurion | All Commercial Plans | $489 |
| Health Systems | All Commercial Plans | $594 |
| 6 Degress Health | All Commercial Plans | $629 |
| BCBS | Anthem Pathway Exchange | $681 |
| BCBS | Anthem Blue Preferred HMO/POS | $711 |
| UnitedHealthCare | All Commercial Plans | $828 |
| BCBS | Anthem Blue Access PPO | $886 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at SSM Health St. Mary's Hospital - Jefferson City