CT abdomen and pelvis with contrast at St. Clare Hospital. CPT 74177.
What St. Clare Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$3,661cash price (self-pay)
$12,700list price
$405–$9,525range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare|All Plans | $405 |
| SoundPath | Medicare|All Plans | $405 |
| Optum | Medicare|All Plans | $409 |
| Aetna | Medicare|All Plans | $417 |
| BCBS - Premera | Medicare|All Plans | $417 |
| BCBS - Regence | Medicare|All Plans | $417 |
| Humana | Medicare|All Plans | $433 |
| Molina | Medicare|All Plans | $437 |
| United | Medicare|All Plans | $437 |
| Amerigroup | Medicare|All Plans | $441 |
| CHPW | Medicare|All Plans | $466 |
| Seattle Medical Group | Medicare|All Plans | $466 |
| Cigna | Commercial|All Plans | $564 |
| Sound Family Medicine | Commercial|All Plans | $769 |
| Molina | Commercial|Marketplace Exchange | $777 |
| Coordinated Care | Commercial|Ambetter Exchange | $801 |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $890 |
| Uniform Medical Plan | Commercial|All Plans | $950 |
| Kaiser | Commercial|HMO | $1,002 |
| BCBS - Regence | Commercial|All Plans | $1,090 |
| Kaiser | Commercial|PPO | $1,103 |
| United | Commercial|Navigate | $1,277 |
| BCBS - Premera | Commercial|All Other Plans | $1,287 |
| United | Commercial|All Other Plans | $1,345 |
| United | Commercial|Cascade Care | $1,345 |
| Aetna | Commercial|AWH | $1,514 |
| Aetna | Commercial|All Other Plans | $1,781 |
| First Choice | Commercial|All Plans | $3,007 |
| Aetna | Commercial|Rental | $9,144 |
| MultiPlan | Commercial|All Plans | $9,525 |
Inpatient
$3,661cash price (self-pay)
$12,700list price
$9,144–$9,525range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|Rental | $9,144 |
| MultiPlan | Commercial|All Plans | $9,525 |
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