CT abdomen and pelvis with contrast at St. Joseph Health Madison Hospital. CPT 74177.
What St. Joseph Health Madison Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,474cash price (self-pay)
$8,425list price
$462–$7,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SUPERIOR | Medicaid|CHIP | $462 |
| UNITED | Medicaid|All Other Plans | $471 |
| UNITED | Medicaid|STARKIDS | $471 |
| BCBS | Medicaid|STARKIDS | $485 |
| SUPERIOR | Medicaid|All Other Plans | $485 |
| SUPERIOR | Medicaid|STAR | $669 |
| Cigna | Commercial|Local Plus | $731 |
| Humana | Commercial|All Plans | $850 |
| PGT | Medicare|All Plans | $1,073 |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,077 |
| AETNA | Medicare|All Plans | $1,095 |
| BCBS | Medicare|All Plans | $1,095 |
| UNITED | Medicare|All Plans | $1,117 |
| AMERIVANTAGE | Medicare|All Plans | $1,128 |
| SUPERIOR | Medicaid|STARPLUS | $1,145 |
| UNITED | Medicaid|STARPLUS | $1,168 |
| SCANHealth | Medicare|All Plans | $1,172 |
| BCBS-TX | Commercial|Blue Premier | $1,245 |
| BCBS-TX | Commercial|HMO | $1,249 |
| BCBS-TX | Commercial|PPO | $1,466 |
| Ambetter | Commercial|All Plans | $1,588 |
| Wellpoint | Commercial|Exchange | $1,643 |
| United | Commercial|Exchange | $1,676 |
| Wellpoint | Medicaid|All Other Plans | $2,123 |
| Wellpoint | Medicaid|STAR | $2,932 |
| Bright Health | Commercial|All Plans | $3,149 |
| Ellwood | Commercial|All Plans | $3,286 |
| United | Commercial|All Other Plans | $3,289 |
| Entrust | Commercial|All Plans | $3,539 |
| NX Health | Commercial|All Plans | $3,560 |
Inpatient
$1,474cash price (self-pay)
$8,425list price
$2,919–$8,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Medicaid|All Other Plans | $2,919 |
| Wellpoint | Medicaid|STAR | $2,919 |
| First Health | Commercial|All Plans | $5,055 |
| Cigna | Commercial|All Other Plans | $5,392 |
| Aetna | Commercial|All Plans | $5,561 |
| PHCS | Commercial|All Plans | $7,161 |
| Multiplan | Commercial|All Plans | $7,583 |
| BCBS-TX | Commercial|Ref Lab | $8,425 |
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