CT abdomen and pelvis with contrast at SSM Health St. Anthony Hospital - Oklahoma City. CPT 74177.
What SSM Health St. Anthony Hospital - Oklahoma City publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,708cash price (self-pay)
$6,742list price
$325–$839range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Exchange | $325 |
| BCBS | Medicare Managed Care Plan | $336 |
| UnitedHealthCare | Medicare Managed Care Plan | $341 |
| Humana | Medicare Managed Care Plan | $341 |
| BCBS | Native Blue HMO | $346 |
| Oscar | All Commercial Plans | $441 |
| Ambetter Health | Exchange | $453 |
| Community Care | Select HMO | $621 |
| Kempton | All Commercial Plans | $654 |
| Healthchoice | All Commercial Plans | $714 |
| Global Health | All Commercial Plans | $726 |
| Community Care | HMO | $839 |
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All common services at SSM Health St. Anthony Hospital - Oklahoma City