CT abdomen and pelvis with contrast at Ste Genevieve County Memorial Hospital. CPT 74177.
What Ste Genevieve County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 19, 2026.
Outpatient / ER
$98.50cash price (self-pay)
$2,744list price
$49.25–$4,497range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthlink_compmanagement | Commercial | $175 |
| Healthlink_hmo | Commercial | $175 |
| Healthlink_ppo | Commercial | $175 |
| Medicaid | Medicaid | $179 |
| Homestate | Medicaid | $186 |
| Healthy_blue | Medicaid | $215 |
| Uhc_community | Medicaid | $215 |
| Bcbs_medicare | Medicare | $686 |
| Uhc_medicare | Medicare | $686 |
| Va | Medicare | $686 |
| Aetna_medicare | Medicare | $700 |
| Allwell | Medicare | $700 |
| Umr | Commercial | $770 |
| Pphp | Medicare | $789 |
| Ambetter | Medicare | $857 |
| Bcbs_traditional | Commercial | $1,023 |
| UHC | Commercial | $1,549 |
| Aetna | Commercial | $2,113 |
| Meritain | Commercial | $2,113 |
| Multiplan/Phcs | Commercial | $2,332 |
| Bcbs_blue_access | Commercial | $3,427 |
| Bcbs_blue_access_choice | Commercial | $3,650 |
| Bcbs_blue_preferred | Commercial | $3,650 |
| Bcbs_pathway | Commercial | $3,650 |
| Bcbs_pathway_x | Commercial | $3,650 |
| Cigna | Commercial | $4,338 |
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All common services at Ste Genevieve County Memorial Hospital