CT abdomen and pelvis with contrast at Clay County Hospital. CPT 74177.
What Clay County Hospital publishes for this service, straight from its standard-charges file, last updated May 7, 2026.
Outpatient / ER
$316cash price (self-pay)
$3,509list price
$57.95–$6,366range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | HealthChoice/Illinois Medicaid | $57.95 |
| Meridian | HealthChoice/Medicaid/Youthcare | $57.95 |
| Molina | HealthChoice/Illinois Medicaid | $57.95 |
| Blue Cross Blue Shield of Illinois | HealthChoice/Illinois Medicaid | $57.95 |
| Aetna | Medicare Advantage | $240 |
| Aetna Better Health | Dual Medicare/Medicaid MMAI | $240 |
| Ambetter | All Ambetter ACA Exchange Plans | $240 |
| Medica(WellFirst) | Medicare Advantage | $240 |
| Meridian | Dual Medicare/Medicaid MMAI | $240 |
| UnitedHealthcare | VA/Community Care | $240 |
| WellCare | Medicare Advantage | $240 |
| Medica(WellFirst) | All Commercial/HMO/PPO | $300 |
| Aetna | All Commercial/HMO/PPO | $331 |
| Blue Cross Blue Shield of Illinois | PPO | $580 |
| Blue Cross Blue Shield of Illinois | Blue Choice PPO | $580 |
| HealthLink | HMO/Open Access/POS | $2,281 |
| Cigna | All Commercial/HMO/PPO | $2,807 |
| HealthLink | PPO | $2,807 |
| UnitedHealthcare | HMO/PPO | $2,875 |
| USA MCO | Commercial PPO | $3,333 |
Inpatient
$6,701cash price (self-pay)
$6,701list price
$4,155–$6,366range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica(WellFirst) | All Commercial/HMO/PPO | $4,155 |
| HealthLink | HMO/Open Access/POS | $4,356 |
| Cigna | All Commercial/HMO/PPO | $5,361 |
| HealthLink | PPO | $5,361 |
| UnitedHealthcare | HMO/PPO | $5,361 |
| USA MCO | Commercial PPO | $6,366 |
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