CT abdomen and pelvis with contrast at Carle Hoopeston Regional Health Center. CPT 74177.
What Carle Hoopeston Regional Health Center publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$7,014cash price (self-pay)
$7,014list price
$332–$6,313range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Humana | Medicare-Medicaid (D-SNP) | $374 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $1,473 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $1,473 |
| United Healthcare (UHC) | Medicare Advantage | $1,473 |
| Humana | Medicare Advantage | $1,473 |
| Wellcare | Medicare Advantage HMO | $1,473 |
| Aetna | Medicare Advantage HMO | $1,473 |
| Blue Cross Blue Shield | Medicare Advantage | $1,473 |
| Aetna | Medicare Advantage PPO | $1,502 |
| Aetna Better Health | Managed Medicaid | $1,754 |
| Molina | Managed Medicaid | $2,104 |
| Aetna | Commercial HMO | $3,367 |
| Aetna | Commercial PPO | $4,636 |
| Blue Cross Blue Shield | Blue Choice/Options/PPO | $4,910 |
| United Healthcare (UHC) | PPO | $5,261 |
| Cigna | PPO/Self Funded | $5,471 |
| Multiplan/PHCS | Savility PPO | $5,611 |
| Aetna First Health PPO | PPO | $5,625 |
| Multiplan/PHCS | PPO | $5,962 |
| HealthLink | PPO | $6,313 |
Inpatient
$7,014cash price (self-pay)
$7,014list price
$332–$6,313range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $701 |
| Aetna Better Health | Managed Medicaid | $1,754 |
| Molina | Managed Medicaid | $2,104 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $2,104 |
| Aetna | Commercial HMO | $3,367 |
| United Healthcare (UHC) | Medicare Advantage | $4,033 |
| Humana | Medicare Advantage | $4,033 |
| Wellcare | Medicare Advantage HMO | $4,033 |
| Aetna | Medicare Advantage HMO | $4,033 |
| Blue Cross Blue Shield | Medicare Advantage | $4,033 |
| United Healthcare (UHC) | PPO | $5,261 |
| Cigna | PPO/Self Funded | $5,471 |
| Multiplan/PHCS | Savility PPO | $5,611 |
| Aetna First Health PPO | PPO | $5,625 |
| Multiplan/PHCS | PPO | $5,962 |
| HealthLink | PPO | $6,313 |
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All common services at Carle Hoopeston Regional Health Center