CT abdomen and pelvis with contrast at St. Clair Hospital. CPT 74177.
What St. Clair Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$412cash price (self-pay)
$4,562list price
$276–$4,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark | Freedom Blue Medicare | $303 |
| Highmark | Community Blue Medicare Advantage | $316 |
| Highmark | Community Blue Medicare HMO | $316 |
| Highmark | Complete Blue | $316 |
| Highmark | Complete Blue Medicare Advantage | $316 |
| AmeriHealth | AmeriHealth Caritas Medicare Advantage | $340 |
| Humana | Humana Medicare Plans | $340 |
| United Healthcare | PA AARP Medicare Advantage Plans | $340 |
| United Healthcare | PA Dual Complete Special Needs Plans | $340 |
| United Healthcare | PA Erickson Advantage Champion/Guardian Plans | $340 |
| United Healthcare | PA Erickson Advantage Freedom/Liberty/Signature Pl | $340 |
| United Healthcare | PA Group Medicare Advantage Plans | $340 |
| United Healthcare | PA UHC Care Advantage | $340 |
| Aetna | Aetna Advantra | $350 |
| Aetna | Aetna/Coventry HealthAmerica Advantra Plans | $350 |
| Geisinger | Geisinger Medicare | $350 |
| Highmark | Wholecare Medicare Assured/Gateway Medicare | $352 |
| Cigna | Cigna Healthspring | $353 |
| Health Partners | Health Partners Medicare | $357 |
| Highmark | Security Blue Medicare | $377 |
| Cigna | Cigna (individual/employer provided) | $409 |
| Cigna | Cigna Choice Fund plans | $409 |
| Cigna | Cigna Global Health Benefits plans | $409 |
| Cigna | Cigna LocalPlus | $409 |
| Cigna | Cigna Network (Open Access, Open Access Plus, POS Open Access) | $409 |
| Cigna | Cigna PPO/EPO | $409 |
| Highmark | Blue Cross Blue Shield Shared Cost | $760 |
| Aetna | Commercial | $911 |
| Aetna | Aetna-Coventry (Bronze/Silver/Gold Plans) | $911 |
| Aetna | Meritain Health | $911 |
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