CT abdomen and pelvis with contrast at St. Charles Hospital. CPT 74177.
What St. Charles Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
—cash price (self-pay)
$3,825list price
$109–$3,825range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Affinity Health Plan | CHP | $109 |
| Affinity Health Plan | HARP | $109 |
| Affinity Health Plan | MEDICAID | $109 |
| Beacon Health Options | CHP | $109 |
| Beacon Health Options | Medicaid | $109 |
| Beacon Health Strategies | EP 3&4 | $109 |
| Beacon Health Strategies | Medicaid | $109 |
| Centerlight Healthcare | MEDICAID | $109 |
| Beacon Health Strategies | MEDICIAD EP 1&2 | $131 |
| Affinity Health Plan | EP 1&2 | $245 |
| Affinity Health Plan | EP 3&4 | $245 |
| BCBS-NY Empire | MA | $414 |
| Aetna | Medicare | $423 |
| BCBS-NY Empire | BCBS BH CARELON BEACON ALT PLAN | $423 |
| BCBS-NY Empire | BEACON HEALTH BC BS | $423 |
| Beacon Health Options | Medicare | $423 |
| Beacon Health Strategies | Medicare | $423 |
| Agewell New York | Medicare HMO | $437 |
| Beacon Health Strategies | Exchange | $549 |
| Beacon Health Options | Commercial | $592 |
| Beacon Health Strategies | Commercial | $592 |
| Brighton | Create IDN | $598 |
| BCBS-NY Empire | Blue Access Small Group | $613 |
| Brighton | Create Flex | $618 |
| BCBS-NY Empire | Blue Access Large Group | $727 |
| BCBS-NY Empire | Commercial | $808 |
| American Plan Administrators | Commercial | $951 |
| Amerihealth Administrators | Commercial | $951 |
| Benefit Services | Commercial | $951 |
| APWU | Commercial | $1,365 |
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