CT abdomen and pelvis with contrast at HSHS Good Shepherd Hospital. CPT 74177.
What HSHS Good Shepherd Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$4,723cash price (self-pay)
$6,560list price
$481–$6,560range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wexford | Wexford Health Sources | $963 |
| Molina Healthcare | Molina Medicaid | $1,011 |
| Meridian Health Plan | Meridian HMO Mcd | $1,059 |
| Aetna | Aetna Medicare | $1,640 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $1,640 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $1,640 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $1,640 |
| Humana | Humana Medicare | $1,640 |
| Humana | Humana Medicare Advantage | $1,640 |
| United Healthcare | United Health Care Medicare | $1,640 |
| Molina Healthcare | Molina Medicare | $1,722 |
| Amish Community | Amish Community Discount | $1,837 |
| Amish Community | Plain Church Medical Group | $1,837 |
| Cigna | All Commercial Cigna | $2,290 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $3,608 |
| Claim Doc | All Commercial Claim Doc | $4,100 |
| Hopetrust | All Commercial Hopetrust | $4,100 |
| Wellfirst | All Commercial Wellfirst | $4,196 |
| Aetna | All Commercial Aetna | $4,585 |
| First Health | All Commercial First Health Network | $4,841 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $5,228 |
| United Healthcare | All Commercial United Healthcare | $5,228 |
| Healthlink | All Commercial Healthlink | $5,471 |
| Healthlink | All Commercial Healthlink - PPO | $5,471 |
| Healthlink | Healthlink Casino Queen | $5,471 |
| Multiplan/Phcs | All Commercial Multiplan | $5,576 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $5,904 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $5,904 |
| Consociate Group | All Commercial Consociate Group | $6,560 |
| Health Alliance Medical Plans | Health Alliance Kingery | $6,560 |
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