CT abdomen and pelvis with contrast at Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network). CPT 74177.
What Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,107cash price (self-pay)
$6,385list price
$250–$3,767range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Ifp | 3019_jcil Cigna Ifp 20250101 | $250 |
| Cigna One Health | 2826_cigna One Health 20241001 | $331 |
| UHC PPO | 3096_pfil, Pril, Psil United Healthcare Options PPO 20250701 | $368 |
| Aetna Mcr Replacement | 2891_jcil Medicare Advantage Aetna Outpatient | $372 |
| BCBS Mcr Replacement | 2892_jcil Medicare Advantage Blue Cross Blue Sh | $372 |
| Humana Mcr Replacement | 2898_medicare Advantage Humana Outpatient 202 | $372 |
| Medicare Replacement | 2894_jcil Medicare Advantage Plan Outpatient 20 | $372 |
| Tricare | 2571_tricare Outpatient 20231001 | $372 |
| UHC Mcr Replacement | 3103_jcil Medicare Advantage United Health Care | $372 |
| Aetna Better Health Mcr Replacement | 2896_medicare Advantage Aetna Be | $391 |
| Meridian Health Medicare | 2893_jcil Medicare Advantage Meridian Outpa | $391 |
| Humana Mmai | 2897_medicare Advantage Humana Mmai Outpatient 20250101 | $410 |
| Molina Medicare | 2899_medicare Advantage Molina Outpatient 20250101 | $410 |
| Bright Health | 2889_bright Health Outpatient 20250101 | $465 |
| BCBS Focus Care | 3003_jcil Blue Cross Blue Shield Myblue Plus POS Out | $503 |
| UHC Individual Exchange | 3100_jcil UHC Op Individual Exchange 2025070 | $503 |
| Smarthealth | 2917_smarthealth Op 20250101 | $521 |
| Aetna Smartcare | 1344_aetna Smartcare Op 20180101 | $558 |
| Ambetter | 2888_ambetter Outpatient 20250101 | $603 |
| UHC Choice | 3095_pfil, Pril, Psil United Healthcare 20250701 | $828 |
| BCBS Bce | 2879_jcil Blue Cross Blue Shield Bce 20241001 | $1,635 |
| BCBS Bcs | 2832_jcil Blue Cross Blue Shield Bcs 20241001 | $1,635 |
| BCBS PPO | 2834_jcil Blue Cross Blue Shield PPO 20241001 | $2,418 |
| Aetna | 2925_jcil Aetna 20250201 | $3,767 |
Inpatient
—cash price (self-pay)
—list price
$372–$603range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mcr Replacement | 3130_jcil Medicare Advantage Aetna Inpatient 2 | $372 |
| BCBS Mcr Replacement | 3131_jcil Medicare Advantage Blue Cross Blue Sh | $372 |
| Humana Mcr Replacement | 3139_jcil Medicare Advantage Humana Inpatient | $372 |
| Medicare Replacement | 3133_jcil Medicare Advantage Plan Inpatient 202 | $372 |
| Tricare | 3136_jcil Tricare Inpatient 20251001 | $372 |
| UHC Mcr Replacement | 3102_jcil Medicare Advantage United Health Care | $372 |
| Aetna Better Health Mcr Replacement | 3138_jcil Medicare Advantage Aet | $391 |
| Meridian Health Medicare | 3132_jcil Medicare Advantage Meridian Inpat | $391 |
| Humana Mmai | 3140_jcil Medicare Advantage Humana Mmai Inpatient 20251 | $410 |
| Molina Medicare | 3141_jcil Medicare Advantage Molina Inpatient 202510 | $410 |
| BCBS Focus Care | 3129_jcil Blue Cross Blue Shield Myblue Plus POS Inp | $465 |
| Bright Health | 3135_jcil Bright Health Inpatient 20251001 | $465 |
| UHC Individual Exchange | 3104_jcil UHC Ip Individual Exchange 2025100 | $503 |
| Smarthealth | 3142_jcil Smarthealth Inpatient 20251001 | $521 |
| Ambetter | 3134_jcil Ambetter Inpatient 20251001 | $603 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network)