CT abdomen and pelvis with contrast at Franklin Hospital District. CPT 74177.
What Franklin Hospital District publishes for this service, straight from its standard-charges file, last updated December 1, 2025.
Outpatient / ER
$4,414cash price (self-pay)
$5,892list price
$191–$5,309range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B IL J6 | Default | $191 |
| Cigna | Medicare Advantage | $2,021 |
| Health Alliance Medical Plans MCR Adv | Medicare Advantage | $2,021 |
| Medicare A IL J6 | Default | $2,021 |
| United Healthcare | Medicare Advantage | $2,021 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $2,021 |
| Aetna | Medicare Advantage | $2,062 |
| Humana | Default | $2,250 |
| Alliance Coal Health Plan | Default | $3,093 |
| United Healthcare | Default | $4,372 |
| Cigna | Default | $4,378 |
| Health Alliance Medical Plans | Default | $4,714 |
| Healthlink HMO DOS gt 06302021 | HMO | $4,714 |
| Great West Healthcare IL | Default | $4,949 |
| Aetna | Default | $5,303 |
| Meritain | Default | $5,303 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.