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PricedCare

CT scan of the abdomen and pelvis, with contrast in St. Louis, MO-IL costs $288 to $4,897. Here's every hospital's price.

17 hospitals in the St. Louis, MO-IL metro area publish a cash price for ct scan of the abdomen and pelvis, with contrast (CPT 74177). We read their files every month so you don't have to.

Across the St. Louis, MO-IL metro area, 17 hospitals list a cash price for ct scan of the abdomen and pelvis, with contrast (CPT 74177). The lowest is $288 at Mercy Hospital Lincoln, the median is $2,309 and the highest is $4,897 at Mercy Hospital St Louis. The most expensive hospital lists 17 times the cheapest for the same code.

The St. Louis, MO-IL median of $2,309 is 11% above the national median of $2,080 across 556 US hospitals with a cash price for this code.

17 of these hospitals also publish the rates they negotiated with insurers, from $29 to $7,049. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between March 2026 and June 2026. 19 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$288
lowest cash price in St. Louis, MO-IL
Mercy Hospital Lincoln · 38 mi
$2,021 below the median
$2,309
median cash price
17 hospitals
17×
highest ÷ lowest
same procedure, same metro
17/36
hospitals with a cash price
19 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$288
list $443 · lowest of 4 lines
2
Touchette Regional Hospital INC

Centreville · 17 mi · File Apr 2026

$689
list $1,112
3
Mercy Hospital South

Saint Louis · 16 mi · File Jun 2026

$1,258
list $1,258 · lowest of 3 lines
4
Ssm St Joseph Hospital West

Lake Saint Louis · 24 mi · File Apr 2026

$1,931
list $3,510 · lowest of 2 lines
5
Ssm Health Saint Louis University Hospital

Saint Louis · 10 mi · File Apr 2026

$2,063
list $3,750 · lowest of 2 lines
6
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$2,309
list $4,199 · lowest of 2 lines
7
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$2,309
list $4,199 · lowest of 2 lines
8
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$2,309
list $4,199 · lowest of 2 lines
9
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$2,309
list $4,199 · lowest of 2 lines
10
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$2,718
list $4,181 · lowest of 2 lines
11
Shriners Hospitals for Children

Saint Louis · 9 mi · File Mar 2026

$3,175
list $3,175
12
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$3,931
list $6,047 · lowest of 2 lines
1

What's in the price

The hospital facility fee for CPT 74177. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 74177, in writing, and whether it covers facility, physician and anesthesia."

About ct scan of the abdomen and pelvis, with contrast

CPT 74177 is a CT of the abdomen and pelvis with intravenous contrast, scanned in one pass. It is the workhorse of emergency and outpatient imaging: appendicitis, kidney stones with infection, unexplained abdominal pain, cancer staging and follow-up. It takes about 10 minutes plus preparation.

What the price covers

The hospital's price is the technical fee for the scanner, technologist, IV contrast and room. The radiologist's reading is billed separately. Oral contrast, if used, may be a separate line. If the scan is done in the emergency department, ED facility charges are added on top.

Why prices vary

This is one of the most expensive routine scans and one of the most variable. Hospital main campuses often list several times what their own outpatient imaging centers list, and freestanding imaging centers are cheaper still. Cash prices at hospitals are often below the insurer-negotiated rate.

Questions to ask

  • What is the self-pay price for 74177 including IV contrast?
  • What does the radiologist reading cost?
  • Is a non-contrast study (74176) acceptable for what my doctor needs?
  • What is the price at your outpatient imaging location?

Hospitals in St. Louis, MO-IL without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask