CT abdomen and pelvis with contrast at St. Elizabeth Hospital. CPT 74177.
What St. Elizabeth Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$4,488cash price (self-pay)
$12,700list price
$564–$11,430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial|All Plans | $564 |
| Aetna | Commercial|AWH | $899 |
| Uniform Medical Plan | Commercial|All Plans | $950 |
| Kaiser | Commercial|HMO | $1,002 |
| Aetna | Commercial|All Other Plans | $1,057 |
| BCBS - Regence | Commercial|All Plans | $1,090 |
| Kaiser | Commercial|PPO | $1,103 |
| BCBS - Premera | Commercial|All Plans | $1,628 |
| United | Commercial|Cascade Care | $1,715 |
| United | Commercial|Navigate | $1,947 |
| United | Commercial|All Other Plans | $2,049 |
| CHPW | Medicaid|All Plans | $2,159 |
| Coordinated Care | Medicaid|All Plans | $2,202 |
| Amerigroup | Medicare|All Plans | $2,286 |
| Kaiser | Medicare|All Plans | $2,286 |
| SoundPath | Medicare|All Plans | $2,286 |
| United | Medicaid|All Plans | $2,289 |
| Molina | Medicaid|All Plans | $2,300 |
| Optum | Medicare|All Plans | $2,309 |
| BCBS - Premera | Medicare|All Plans | $2,355 |
| BCBS - Regence | Medicare|All Plans | $2,355 |
| CHPW | Medicare|All Plans | $2,400 |
| Humana | Medicare|All Plans | $2,446 |
| Molina | Medicare|All Plans | $2,469 |
| United | Medicare|All Plans | $2,469 |
| WellPoint | Medicaid|All Plans | $2,629 |
| Seattle Medical Group | Medicare|All Plans | $2,629 |
| Aetna | Medicare|All Plans | $2,794 |
| First Choice | Commercial|All Plans | $3,042 |
| Coordinated Care | Commercial|Ambetter Exchange | $4,229 |
Inpatient
$4,488cash price (self-pay)
$12,700list price
$3,556–$11,430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHPW | Medicaid|All Plans | $3,556 |
| Coordinated Care | Medicaid|All Plans | $3,627 |
| United | Medicaid|All Plans | $3,769 |
| Molina | Medicaid|All Plans | $3,787 |
| WellPoint | Medicaid|All Plans | $4,213 |
| Aetna | Commercial|AWH | $5,080 |
| Aetna | Commercial|All Other Plans | $6,096 |
| Aetna | Commercial|Rental | $9,144 |
| First Choice | Commercial|All Plans | $9,525 |
| MultiPlan | Commercial|All Plans | $11,430 |
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