CT abdomen and pelvis with contrast at St. Joseph's Medical Center. CPT 74177.
What St. Joseph's Medical Center publishes for this service, straight from its standard-charges file, last updated July 13, 2026.
Outpatient / ER
$94.75cash price (self-pay)
$3,015list price
$66.33–$2,111range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Savings Plus | Exchange | $268 |
| MagnaCare | Commercial | $285 |
| Aetna Gatekeeper | Commercial | $293 |
| Aetna Non-Gatekeeper | Commercial | $293 |
| Fidelis | Medicaid Advantage Plus | $339 |
| Fidelis | Medicare Advantage | $339 |
| Elderplan | Medicare Advantage | $356 |
| Hamaspik | Medicare Advantage | $356 |
| VA | Other | $356 |
| VNS | Medicare Advantage | $356 |
| Aetna | Medicare Advantage | $356 |
| Centerlight | Medicare Advantage | $356 |
| Emblem | Medicare Advantage | $356 |
| Empire | Medicare Advantage | $356 |
| Healthfirst | Medicare Advantage | $374 |
| Cigna | Commercial | $374 |
| Emblem Select Care | Exchange | $446 |
| Emblem | Commercial | $463 |
| Empire | Commercial | $465 |
| Empire Indemnity | Commercial | $465 |
| Empire PPO | Commercial | $465 |
| MetroPlus Behavioral Health | Medicaid | $525 |
| VNS Special Needs | Medicaid Managed Care | $525 |
| Affinity | Medicaid | $525 |
| Elderplan | Medicaid | $525 |
| Emblem | Medicaid | $525 |
| Empire HealthPlus | Medicaid | $525 |
| Empire HealthPlus CHP | Medicaid | $525 |
| Fidelis | Medicaid | $525 |
| Fidelis CHP | Medicaid | $525 |
Inpatient
—cash price (self-pay)
$3,015list price
—range insurers pay
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