CT abdomen and pelvis with contrast at St Joseph Medical Center. CPT 74177.
What St Joseph Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$345cash price (self-pay)
$6,679list price
$312–$6,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare Advantage PPO | Humana Medicare Advantage PPO | $333 |
| Aetna (Medicare Advantage-PPO) | Aetna (Medicare Advantage-PPO) | $345 |
| BCBS Texas Medicare Advantage | BCBS Texas Medicare Advantage | $345 |
| Devoted Health Inc | Devoted Health Inc | $345 |
| Integranet IPA Amerigroup | Integranet IPA Amerigroup | $345 |
| Medicare | Medicare | $345 |
| Provider Partners Health Plan | Provider Partners Health Plan | $345 |
| Select Care/Texans Plus | Select Care/Texans Plus | $345 |
| Texas HealthSpring | Texas HealthSpring | $345 |
| TIHP (Texas Independence Health Plan) | TIHP (Texas Independence Healt | $345 |
| United Healthcare Medicare Advantage | United Healthcare Medicare Adva | $345 |
| Wellpoint Amerigroup Med Advantage | Wellpoint Amerigroup Med Advantag | $345 |
| TriWest VA PCCC | TriWest VA PCCC | $347 |
| Managed Care Medicare Misc | Managed Care Medicare Misc | $350 |
| Secure Horizons Direct | Secure Horizons Direct | $350 |
| Texas Medical Management Partners | Texas Medical Management Partners | $350 |
| Triwest VA | Triwest VA | $350 |
| Molina Medicare Advantage | Molina Medicare Advantage | $352 |
| Oscar Health | Oscar Health | $355 |
| WellCare of Texas | WellCare of Texas | $362 |
| Verda Health Plan | Verda Health Plan | $368 |
| WellPath | WellPath | $379 |
| BCBS of Texas My Blue Health | BCBS of Texas My Blue Health | $382 |
| United Healthcare Exchange HIX | United Healthcare Exchange HIX | $386 |
| Bright Health Commercial Exchange | Bright Health Commercial Exchange | $393 |
| BCBS Of Texas Hpn | BCBS Of Texas Hpn | $416 |
| BCBS of Texas Premier | BCBS of Texas Premier | $416 |
| Community Health Choice HIX | Community Health Choice HIX | $421 |
| BCBS of Texas Blue Advantage HMO HIX | BCBS of Texas Blue Advantage HM | $424 |
| Ambetter HIX HMO | Ambetter HIX HMO | $438 |
Inpatient
—cash price (self-pay)
$6,679list price
$4,008–$6,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan Behavioral Health | Magellan Behavioral Health | $4,008 |
| BCBS of Texas Traditional | BCBS of Texas Traditional | $4,542 |
| 70 Pct | 70 Pct | $4,675 |
| Galaxy Health Network (GHN) | Galaxy Health Network (GHN) | $5,210 |
| CIGNA Behavioral Health | CIGNA Behavioral Health | $5,343 |
| Multiplan | Multiplan | $5,343 |
| Provider Networks of America (PRONET) | Provider Networks of America ( | $5,343 |
| finthrive | Self Pay - MCD Pending 100 Percent | $6,679 |
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