CT abdomen and pelvis with contrast at Carle Foundation Hospital. CPT 74177.
What Carle Foundation Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$7,518cash price (self-pay)
$7,518list price
$322–$6,390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $322 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $374 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $374 |
| United Healthcare (UHC) | VA CCN/Optum | $374 |
| Aetna | Medicare Advantage HMO | $374 |
| Humana | Medicare Advantage | $374 |
| United Healthcare (UHC) | Medicare Advantage | $374 |
| Wellcare | Medicare Advantage HMO | $374 |
| Blue Cross Blue Shield | Medicare Advantage | $374 |
| Aetna | Medicare Advantage PPO | $381 |
| Meridian | Managed Medicaid | $752 |
| Molina | Managed Medicaid | $2,255 |
| Aetna | Commercial HMO | $3,609 |
| Community Partners Health Plan (CPHP) | PPO | $4,424 |
| United Healthcare (UHC) | PPO | $4,654 |
| Blue Cross Blue Shield | Blue Choice | $4,887 |
| Blue Cross Blue Shield | PPO | $4,887 |
| Aetna | Commercial PPO | $4,969 |
| Cigna | PPO | $5,864 |
| Multiplan/PHCS | PPO | $6,014 |
| Aetna (First Health) | PPO | $6,029 |
| HealthLink | PPO | $6,390 |
Inpatient
$7,518cash price (self-pay)
$7,518list price
$322–$6,390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $322 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Meridian | Managed Medicaid | $752 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $752 |
| Molina | Managed Medicaid | $2,255 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $2,255 |
| Aetna | Commercial HMO | $3,609 |
| Multiplan/PHCS | PPO | $6,014 |
| Aetna (First Health) | PPO | $6,029 |
| HealthLink | PPO | $6,390 |
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