CT abdomen and pelvis with contrast at Ascension Saint Thomas River Park. CPT 74177.
What Ascension Saint Thomas River Park publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,810cash price (self-pay)
$6,034list price
$248–$3,138range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Aca Exchange | 3147_sttn Blue Cross Blue Shield Network E 2024123 | $248 |
| Community Plan | 1351_rptn Medicaid Replacement United Health Care Com | $287 |
| BCBS Blue Care (Regionals Only) | 2430_bcbs Blue Care (River Park) 202 | $288 |
| Point Comfort Underwriters | 2946_medicare Advantage Point Comfort Und | $303 |
| Amerigroup Mcaid Replacement | 2938_rptn Medicaid Replacement Amerigro | $314 |
| BCBS Aca Exchange | 3146_mttn Blue Cross Blue Shield Network E 2024123 | $328 |
| Americhoice Medicare | 2955_rptn Americhoice Medicare Outpatient 20250 | $337 |
| Amerigroup Mcr Replacement | 2958_rptn Rhtn Thtn Sdtn Medicare Advanta | $337 |
| Ascension Complete | 2940_ascension Complete Medicare Advantage Outpat | $337 |
| BCBS Bluecare Plus | 2953_rhtn Rptn Sdtn Thtn Medicare Advantage Blue | $337 |
| Centurion Of Tn | 2942_medicare Advantage Centurion Of Tn Outpatient 2 | $337 |
| Clover Medicare Advantage | 2943_medicare Advantage Clover Outpatient | $337 |
| Healthspring Mcr Replacement | 2944_medicare Advantage Healthspring Ou | $337 |
| Humana Mcr Replacement | 2957_rptn Medicare Advantage Humana Outpatien | $337 |
| Nhc Advantage | 2948_mttn Rhtn Rptn Sdtn Sttn Medicare Advantage Nhc A | $337 |
| Optum Va | 2935_medicare Advantage Optum Va Outpatient 20250101 | $337 |
| UHC Mcr Replacement | 2951_mttn Sttn Rptn Medicare Advantage UHC Outpa | $337 |
| Aetna Medadvantage | 2956_rhtn Rptn Sdtn Thtn Mttn Sttn Medicare Advan | $344 |
| BCBS Mcr Replacement | 2941_medicare Advantage Blue Cross Blue Shield | $354 |
| BCBS Missionpoint | 2422_blue Cross Blue Shield Missionpoint Regional | $366 |
| BCBS Tenncare Select | 2426_bcbs Tenncare Select (River Park) 20221001 | $367 |
| BCBS Network E | 3149_blue Cross Blue Shield Network E Regional 202504 | $377 |
| BCBS Network L | 3150_blue Cross Blue Shield Network L Regional 202504 | $411 |
| BCBS Select | 3182_blue Cross Blue Shield Select Regional 20250701 | $411 |
| Ambetter Of Tn | 2933_ambetter Of Tn Outpatient 20250101 | $438 |
| BCBS Preferred | 3181_blue Cross Blue Shield Preferred Regional 202507 | $444 |
| Oscar Health | 500_oscar Health (River Park) Op 20180101 | $472 |
| Smart Health | 2936_mttn, Rptn, Rhtn, Sdtn, Thtn Ascension Smart Healt | $472 |
| Aetna (Rutherford Only) | 3160_mttn Aetna 20250701 | $552 |
| Aetna | 3159_sttn Aetna 20250701 | $563 |
Inpatient
—cash price (self-pay)
—list price
$303–$472range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 3224_mttn Rhtn Rptn Sdtn Sttn Medicare Ad | $303 |
| Americhoice Medicare | 3206_rhtn, Rptn, Sdtn, Thtn Americhoice Medicar | $337 |
| Amerigroup Mcr Replacement | 3213_rptn Rhtn Thtn Sdtn Medicare Advanta | $337 |
| Ascension Complete | 3229_ascension Complete Medicare Advantage Inpati | $337 |
| BCBS Bluecare Plus | 3216_rhtn Rptn Sdtn Thtn Medicare Advantage Blue | $337 |
| Centurion Of Tn | 3228_medicare Advantage Centurion Of Tn Inpatient 20 | $337 |
| Clover Medicare Advantage | 3227_medicare Advantage Clover Inpatient 2 | $337 |
| Covid Uninsured Test Fund | 3202_covid Uninsured Test Fund Inpatient 2 | $337 |
| Healthspring Mcr Replacement | 3219_mttn Sttn Rptn Sdtn Rhtn Medicare | $337 |
| Humana Mcr Replacement | 3215_rptn Medicare Advantage Humana Inpatient | $337 |
| Nhc Advantage | 3225_mttn Rhtn Rptn Sdtn Sttn Medicare Advantage Nhc A | $337 |
| Optum Va | 3205_medicare Advantage Optum Va Inpatient 20251001 | $337 |
| UHC Mcr Replacement | 3226_medicare Advantage UHC Inpatient 20251001 | $337 |
| Aetna Medadvantage | 3214_rptn Rhtn Sdtn Thtn Mttn Sttn Medicare Advan | $344 |
| BCBS Mcr Replacement | 3238_thtn Medicare Advantage Blue Cross Blue Sh | $354 |
| Ambetter Of Tn | 3236_ambetter Of Tn Inpatient 20251001 | $438 |
| Smart Health | 3237_mttn, Rptn, Rhtn, Sdtn, Thtn Ascension Smart Healt | $472 |
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