CT abdomen and pelvis with contrast at Decatur Memorial Hospital. CPT 74177.
What Decatur Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$7,838cash price (self-pay)
$7,838list price
$9.49–$7,838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $310 |
| Aetna | Aetna Medicare Advantage | $323 |
| Blue Cross Blue Shield | BCBS Medicare Advantage | $323 |
| Coventry | Coventry Advantra Medicare Advantage | $323 |
| Health Alliance | Health Alliance Medicare Advantage | $323 |
| Humana | Humana Medicare Advantage | $323 |
| Medicare | Medicare | $323 |
| United HealthCare | United HealthCare Medicare Advantage | $323 |
| Veterans Administration | Veterans Administration | $323 |
| Tricare/Champus | Tricare/Champus | $328 |
| WellCare | WellCare Medicare Advantage PPO | $368 |
| UHC Va Ccn | UHC Va Ccn | $374 |
| Medicaid | Illinois Medicaid | $382 |
| Caterpillar | Caterpillar | $841 |
| Humana | Humana PPO | $988 |
| BCBS Phai | BCBS Phai | $1,905 |
| HFN | HFN Workers Compensation | $1,965 |
| Commercial Workers Compensation | Commercial Workers Compensation | $1,985 |
| Plain Church Medical Group | Plain Church Medical Group | $1,997 |
| Cigna | Cigna PPO | $2,434 |
| Illinois Workers Compensation | Illinois Workers Compensation | $2,560 |
| Mennonite Churches | Mennonite Churches | $2,743 |
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $3,605 |
| Health Alliance | Health Alliance Public Exchange | $3,903 |
| Coventry | First Health | $3,974 |
| Health Alliance | Health Alliance | $4,440 |
| 6 Degrees Health | 6 Degrees Health | $4,703 |
| HopeTrust | HopeTrust | $4,703 |
| Hst | Hst | $4,703 |
| PHCS Savility | PHCS Savility | $5,095 |
Inpatient
$7,838cash price (self-pay)
$7,838list price
$3,605–$7,838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $3,605 |
| 6 Degrees Health | 6 Degrees Health | $4,703 |
| HopeTrust | HopeTrust | $4,703 |
| Hst | Hst | $4,703 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $5,330 |
| BCBS Phai | BCBS Phai | $7,838 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $7,838 |
| Liability | Liability | $7,838 |
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