CT abdomen and pelvis with contrast at Advocate Illinois Masonic Medical Center. CPT 74177.
What Advocate Illinois Masonic Medical Center publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$1,915cash price (self-pay)
$3,830list price
$540–$3,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Medicare Advantage | $540 |
| Molina | Medicare Advantage | $540 |
| Oscar Health HMO | Medicare Advantage | $558 |
| Cigna | Commercial | $653 |
| Cigna One Health | Commercial | $653 |
| HSTechnology | Medicare Advantage | $715 |
| United Healthcare | HMO | $718 |
| United Healthcare Charter | Commercial | $718 |
| United Healthcare Core Navigate | Commercial | $718 |
| United Healthcare Nexus | Commercial | $718 |
| Aetna | Commercial | $941 |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,316 |
| Blue Cross Blue Shield Choice | Commercial | $1,422 |
| Blue Cross Blue Shield | PPO | $1,498 |
| Advocate Employee | Commercial | $1,509 |
| Private Healthcare Systems | Commercial | $2,873 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $3,064 |
| Multiplan | Commercial | $3,064 |
| Blue Cross Blue Shield | HMO | $3,118 |
Inpatient
$1,915cash price (self-pay)
$3,830list price
$1,674–$3,064range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $1,674 |
| Private Healthcare Systems | Commercial | $2,068 |
| Multiplan | Commercial | $3,064 |
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All common services at Advocate Illinois Masonic Medical Center