CT abdomen and pelvis with contrast at St Josephs Hospital Health Ctr. CPT 74177.
What St Josephs Hospital Health Ctr publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,135cash price (self-pay)
$3,284list price
$65.41–$2,956range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Mmc Harp Chp | $65.41 |
| Capital District Physicians Health Medicaid Advantage | Cdphp Medicaid | $109 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Excellus BCBS Medicaid | $109 |
| Blue Cross - NY (Excellus) | Excellus Medicaid Ess 3 & 4 & Healthy | $109 |
| United Healthcare Medicaid | United Behavioral Medicaid | $109 |
| Albany County Correctional Facility | Correctional Facility | $109 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Excellus Medicaid Ess | $109 |
| United Healthcare Medicaid | United Healthcare Medicaid Harp Chip | $112 |
| Mvp Medicaid Advantage | Mvp Medicaid | $114 |
| Molina Medicaid | Molina Medicaid | $114 |
| United Healthcare Medicaid | UHC Essential Plan Medicaid | $128 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Ess 1 & 2 | $147 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Ess 3 & 4 | $147 |
| Molina Medicaid | Molina Medicaid Ess 3 & 4 | $245 |
| Mvp Medicaid Advantage | Mvp Medicaid Ess 1 & 2 | $245 |
| Mvp Medicaid Advantage | Mvp Medicaid Ess 3 & 4 | $245 |
| Molina Medicaid | Molina Medicaid Ess 1 & 2 | $245 |
| Blue Cross - TX Medicare Advantage | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - Id Medicare Advantage | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - In (Anthem) Medicare Advantage | Excellus BCBS Medicare A | $376 |
| Blue Cross - NY (Anthem) Medicare Advantage | Excellus BCBS Medicare A | $376 |
| Blue Cross - Ok Medicare Advantage | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Excellus BCBS Medicare A | $376 |
| BCBS Medicare Advantage Generic | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - Nc Medicare Advantage | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - Or (Regence) Medicare Advantage | Excellus BCBS Medicare | $376 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Excellus BCBS Medicare A | $376 |
| Blue Cross - Ms Medicare Advantage | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - Ri Medicare Advantage | Excellus BCBS Medicare Advantage | $376 |
| Blue Cross - NY (Excellus) Medicare Advantage | Excellus BCBS Medicare | $376 |
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