CT abdomen and pelvis with contrast at Mount Carmel St Anns. CPT 74177.
What Mount Carmel St Anns publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,080cash price (self-pay)
$3,200list price
$296–$3,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medigold Medicare Advantage | Medigold Medicare Advantage | $296 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $330 |
| Hospice Mount Carmel | Mount Carmel Hospice | $336 |
| Medical Mutual Medicare | Medical Mutual Medicare Advantage | $336 |
| Oscar | Oscar | $336 |
| Aetna Medicare Advantage | Aetna Better Health Medicare Advantage | $346 |
| Enterprise Group Planning | Enterprise Group Planning Medicare Adv | $649 |
| Custom Design Benefits | Custom Design Benefit | $703 |
| United Healthcare | United Healthcare Exchange | $715 |
| Medical Mutual | Medical Mutual Medflex | $827 |
| American Postal Workers Secondary | Cigna | $1,126 |
| Healthgram | Cigna | $1,126 |
| Mvp | Cigna | $1,126 |
| United Healthcare | United Healthcare PPO | $1,182 |
| Medical Mutual | Medical Mutual Supermed PPO POS HMO | $1,197 |
| BCBS Generic | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Shield - Wa (Regence) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Wa (Premera) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Wv (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Wy | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ia (Wellmark) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - IL | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Va (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Wi (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Va (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Vt | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Me (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - La | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Nm | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Care Network | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
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