CT abdomen and pelvis with contrast at Carle BroMenn Medical Center. CPT 74177.
What Carle BroMenn Medical Center publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$6,523cash price (self-pay)
$6,523list price
$322–$4,892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $322 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| United Healthcare (UHC) | Medicare Advantage | $374 |
| Aetna | Medicare Advantage | $374 |
| Blue Cross Blue Shield | Medicare Advantage | $374 |
| Meridian | Medicare-Medicaid (D-SNP) | $374 |
| Humana | Medicare Advantage | $374 |
| United Healthcare (UHC) | VA CCN/Optum | $374 |
| Molina | Medicare-Medicaid (D-SNP) | $374 |
| Wellcare | Medicare Advantage HMO | $374 |
| Cigna | PPO | $600 |
| Aetna | Commercial | $927 |
| Molina | Managed Medicaid | $1,305 |
| United Healthcare (UHC) | PPO | $1,700 |
| Community Partners Health Plan (CPHP) | PPO | $3,914 |
| Blue Cross Blue Shield | Blue Choice/Options/PPO | $4,012 |
| Blue Cross Blue Shield | HMO | $4,044 |
| HealthLink | PPO | $4,240 |
| Aetna First Health PPO | PPO | $4,312 |
| Multiplan/PHCS | PPO | $4,892 |
Inpatient
$6,523cash price (self-pay)
$6,523list price
$322–$4,312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $322 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Meridian | Medicare-Medicaid (D-SNP) | $652 |
| Molina | Managed Medicaid | $1,305 |
| Molina | Medicare-Medicaid (D-SNP) | $1,305 |
| HealthLink | PPO | $4,240 |
| Aetna First Health PPO | PPO | $4,312 |
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