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CT abdomen and pelvis with contrast at Saint Francis Hospital South. CPT 74177.

What Saint Francis Hospital South publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,611cash price (self-pay)
$4,027list price
$336–$805range insurers pay
Insurance planNegotiated rate
Aetna | Better Health Medicaid Managed Care$336
Bcbs | Nativeblue Medicare Managed Care Plan$346
Healthchoice | Hmo/Ppo$714
Community Care | Other Physician Hmo$772
Community Care | Employer Choice - 127 Other Commercial Plan$805
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All common services at Saint Francis Hospital South