CT abdomen and pelvis with contrast at Holy Cross Hospital. CPT 74177.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$149cash price (self-pay)
$6,280list price
$95.74–$17,584range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lawndale Christian - All Plans | Lawndale Christian - All Plans | $407 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $477 |
| BCBS Mcaid | BCBS Mcaid | $477 |
| Cook Co Hlth & Hosp Syst Mcaid - All Plans | Cook Co Hlth & Hosp Syst | $477 |
| Molina Mcaid | Molina Mcaid | $487 |
| Cigna Comm Ip/Op Only - All Other Plans | Cigna Comm Ip/Op Only - All | $722 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $955 |
| Rush Hlth - All Plans | Rush Hlth - All Plans | $1,461 |
| Healthlink HMO | Healthlink HMO | $1,623 |
| Healthlink PPO - All Other Plans | Healthlink PPO - All Other Plans | $1,623 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $1,802 |
| Compsych Ip/Op Only - All Plans | Compsych Ip/Op Only - All Plans | $1,948 |
| BCBS Blue Choice | BCBS Blue Choice | $2,043 |
| BCBS HMO | BCBS HMO | $2,168 |
| Multiplan Primary Ntwrk/Phcs - All Other Plans | Multiplan Primary Ntw | $2,272 |
| Hfn EPO | Hfn EPO | $2,435 |
| Multiplan Complementary Ntwrk | Multiplan Complementary Ntwrk | $2,597 |
| Hfn PPO - All Other Plans | Hfn PPO - All Other Plans | $2,824 |
| Esperanza Pace 7/1/25 - All Plans | Esperanza Pace 7/1/25 - All Plans | $3,084 |
| Va Healthnet - All Plans | Va Healthnet - All Plans | $3,149 |
| BCBS Mcr Adv HMO/PPO | BCBS Mcr Adv HMO/PPO | $3,246 |
| Meridian/Harmony D-Snp - All Plans | Meridian/Harmony D-Snp - All Plan | $3,246 |
| Oak Street Hlth Mcr Adv - All Plans | Oak Street Hlth Mcr Adv - All Pl | $3,246 |
| Advocate Physician Prtnrs Mcr | Advocate Physician Prtnrs Mcr | $3,246 |
| Brighthealth Mcr Adv | Brighthealth Mcr Adv | $3,246 |
| Molina Mcr | Molina Mcr | $3,311 |
| Zing Mcr Adv - All Plans | Zing Mcr Adv - All Plans | $3,376 |
| Ach Access Comunty Hlth Mcr Op/Pf Only | Ach Access Comunty Hlth Mcr O | $3,409 |
| Centene/Celtic - All Plans | Centene/Celtic - All Plans | $3,409 |
| Ach Access Comunty Hlth Comm Op/Pf Only - All Othe | Ach Access Comunt | $3,571 |
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