CT abdomen and pelvis with contrast at St. Luke's Health Memorial San Augustine. CPT 74177.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$2,042cash price (self-pay)

$13,616list price

$339–$14,161range insurers pay

Insurance plan	Negotiated rate
AETNA \| Medicare\|All Plans	$339
HUMANA \| Medicare\|All Plans	$339
Wellpoint \| Medicare\|All Plans	$349
BCBS \| Medicare\|All Plans	$354
UNITED \| Medicare\|All Plans	$354
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$356
CIGNA HEALTHSPRING \| Medicare\|PPO	$359
SCANHealth \| Medicare\|All Plans	$361
MD Save \| Commercial\|All Plans	$424
BCBS-TX \| Commercial\|Blue Advantage HMO	$439
SUPERIOR \| Medicaid\|All Other Plans	$462
SUPERIOR \| Medicaid\|STARPLUS	$462
UNITED \| Medicaid\|All Other Plans	$462
UNITED \| Medicaid\|STAR	$462
Wellpoint \| Medicaid\|All Other Plans	$462
TCHP \| Medicaid\|All Plans	$464
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$471
Wellpoint \| Medicaid\|STARPLUS	$476
BCBS \| Medicaid\|All Plans	$485
Wellpoint \| Commercial\|Exchange	$532
SUPERIOR \| Medicaid\|STAR	$725
Wellpoint \| Medicaid\|STAR	$725
UNITED \| Medicaid\|STARPLUS	$826
Angelina County \| Commercial\|All Plans	$926
Brookshire Brothers \| Commercial\|All Plans	$1,017
Cigna \| Commercial\|All Plans	$1,103
BCBS-TX \| Commercial\|Blue Premier	$1,203
BCBS-TX \| Commercial\|HMO	$1,264
BCBS-TX \| Commercial\|PPO	$1,524
United \| Commercial\|Exchange	$2,451

$2,042cash price (self-pay)

$13,616list price

$3,404–$13,616range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$3,404
Humana \| Commercial\|All Plans	$9,531
Multiplan \| Commercial\|All Plans	$9,531
PHCS \| Commercial\|All Plans	$10,893
Galaxy \| Commercial\|All Plans	$12,254
United \| Commercial\|Exchange	$13,616

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.