CT abdomen and pelvis with contrast at Ann & Robert H. Lurie Children's Hospital of Chicago. CPT 74177.
What Ann & Robert H. Lurie Children's Hospital of Chicago publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,478cash price (self-pay)
$6,397list price
$1,087–$8,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Unified Physicians Network | $1,512 |
| Aetna | Aetna | $2,614 |
| Cigna | Cigna Local Plus | $2,687 |
| Blue Cross Blue Shield | BCBS HMO | $2,770 |
| Blue Cross Blue Shield | BCBS PPO | $2,917 |
| La Rabida Childrens Hospital | La Rabida Childrens Hospital | $3,199 |
| Beacon Health Options | Beacon Health Options - Value Options | $3,199 |
| Blue Cross Blue Shield | Dupage Medical Group | $3,838 |
| Centegra | Centegra | $3,838 |
| Blue Cross Blue Shield | Northshore Physician Associates | $4,158 |
| Advanced Physicians Association IPA | Advanced Physicians Association | $4,478 |
| Blue Cross Blue Shield | Illinois Health Partners | $4,478 |
| Blue Cross Blue Shield | Lake County Physician Association | $4,478 |
| St. Francis | St. Francis - IPA | $4,478 |
| Imagine Health | Imagine Health | $4,478 |
| Presence Health Partners | Presence Health Partners - Family Med Netwo | $4,478 |
| Northwest Community Healthcare | Northwest Community Healthcare | $4,478 |
| UI Health | UI Health | $4,478 |
| Health Plus | Health Plus - PHO | $4,478 |
| Macneal Health | Macneal Health | $5,118 |
| Magellan | Magellan Behavioral Health | $5,118 |
| Blue Cross Blue Shield | Sherman Choice - PHO | $5,118 |
| Healthlink Inc. | Healthlink Inc. | $5,278 |
| St. Elizabeth | St. Elizabeth - PHO | $5,437 |
| Humana | Humana National POS | $5,437 |
| Humana | Humana | $5,437 |
| HFN Inc | HFN - EPO | $5,437 |
| Cofinity | Cofinity | $5,437 |
| Preferred Health Network | Preferred Health Network - PPO | $5,629 |
| Beech Street | Beech Street - PPO | $5,757 |
Inpatient
$4,478cash price (self-pay)
$6,397list price
$900–$6,077range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan | Magellan Behavioral Health | $900 |
| Medicare | Medicare | $2,656 |
| Cigna | Cigna Local Plus | $2,687 |
| La Rabida Childrens Hospital | La Rabida Childrens Hospital | $3,199 |
| Unicare | Unicare | $3,678 |
| Blue Cross Blue Shield | Dupage Medical Group | $3,838 |
| Centegra | Centegra | $3,838 |
| Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $3,838 |
| UI Health | UI Health | $4,478 |
| Health Plus | Health Plus - PHO | $4,478 |
| Advanced Physicians Association IPA | Advanced Physicians Association | $4,478 |
| Imagine Health | Imagine Health | $4,478 |
| Methodist First Choice | Methodist First Choice | $4,478 |
| Blue Cross Blue Shield | Lake County Physician Association | $4,478 |
| West Suburban Health Providers | West Suburban Health Providers | $4,478 |
| Northwest Community Healthcare | Northwest Community Healthcare | $4,478 |
| Cigna | Cigna | $4,542 |
| Shriners Hospital | Shriners Hospital | $4,798 |
| Swedish Covenant Physician Partners | Swedish Covenant Physician Partn | $4,798 |
| Blue Cross Blue Shield | Sherman Choice - PHO | $5,118 |
| Macneal Health | Macneal Health | $5,118 |
| Healthlink Inc. | Healthlink Inc. | $5,278 |
| HFN Inc | HFN - EPO | $5,437 |
| Humana | Humana National POS | $5,437 |
| St. Elizabeth | St. Elizabeth - PHO | $5,437 |
| Cofinity | Cofinity | $5,437 |
| Humana | Humana | $5,437 |
| Healthstar | Healthstar - PPO Next | $5,629 |
| Sagamore Health Network | Sagamore Health Network - PPO | $5,629 |
| First Health | First Health | $5,629 |
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All common services at Ann & Robert H. Lurie Children's Hospital of Chicago