CT abdomen and pelvis with contrast at Hamilton Memorial Hospital District. CPT 74177.
What Hamilton Memorial Hospital District publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$3,295cash price (self-pay)
$3,661list price
$282–$3,478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthLink | HMO | $787 |
| Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $837 |
| Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $873 |
| Health Alliance | Medicare Advantage | $873 |
| WellCare | Medicare Advantage HMO and PPO | $873 |
| Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $873 |
| United Healthcare VA CCN | VA Community Care Network | $873 |
| Aetna | Medicare Advantage | $881 |
| HealthLink | PPO | $910 |
| Meridian Medicare-Medicaid | MeridianComplete DSNP | $1,362 |
| Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $1,465 |
| Alliance Coal | Alliance Coal Group Health | $1,465 |
| Humana | Medicare Advantage | $1,465 |
| Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $1,465 |
| Molina Medicare Medicaid | Molina Dual Options DSNP | $1,465 |
| Healthscope | Commercial | $2,563 |
| WellFirst (SSMHIC) | Commercial | $2,563 |
| UnitedHealthcare | HMO and PPO | $2,622 |
| HOPE Trust | Commercial | $2,746 |
| Cigna | HMO and PPO | $2,874 |
| Health Alliance | HMO,PPO, and Exchange | $2,929 |
| HFN, Inc | HFN-20 | $2,929 |
| Multiplan | PPO | $3,112 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $3,149 |
| Aetna | HMO, PPO | $3,295 |
| Aetna | First Health PPO | $3,295 |
| HFN, Inc | HFN-10 | $3,295 |
| Siho | PPO | $3,295 |
| Three Rivers Provider | PPO | $3,295 |
| Blue Cross Blue Shield of Illinois | Traditional and PPO | $3,332 |
Inpatient
$2,929cash price (self-pay)
$3,661list price
$2,563–$3,478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellFirst (SSMHIC) | Commercial | $2,563 |
| HOPE Trust | Commercial | $2,746 |
| HFN, Inc | HFN-20 | $2,929 |
| Aetna | HMO, PPO | $3,112 |
| Multiplan | PPO | $3,112 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $3,149 |
| Aetna | First Health PPO | $3,295 |
| HFN, Inc | HFN-10 | $3,295 |
| Siho | PPO | $3,295 |
| Three Rivers Provider | PPO | $3,295 |
| Blue Cross Blue Shield of Illinois | Traditional and PPO | $3,332 |
| Healthsmart | PPO | $3,478 |
| Stratose | PPO | $3,478 |
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