CT abdomen and pelvis with contrast at HSHS St. Anthony's Memorial Hospital. CPT 74177.
What HSHS St. Anthony's Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$5,604cash price (self-pay)
$7,784list price
$138–$7,784range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | Molina Medicaid | $277 |
| Meridian Health Plan | Meridian HMO Mcd | $290 |
| Aetna | Aetna Medicare | $400 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $400 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $400 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $400 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $400 |
| Health Partners | Health Partners Medicare | $400 |
| Humana | Humana Medicare | $400 |
| Molina Healthcare | Molina Medicare | $419 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $822 |
| Naphcare | All Commerical Naphcare | $868 |
| Hopetrust | All Commercial Hopetrust | $961 |
| Claim Doc | All Commercial Claim Doc | $1,001 |
| Amish Community | Amish Community Discount | $2,180 |
| Amish Community | Plain Church Medical Group | $2,180 |
| Cigna | All Commercial Cigna | $2,290 |
| Aetna | Aetna Hshs | $5,099 |
| Aetna | All Commercial Aetna | $5,480 |
| First Health | All Commercial First Health Network | $5,791 |
| Healthlink | All Commercial Healthlink | $6,188 |
| Healthlink | All Commercial Healthlink - PPO | $6,188 |
| Healthlink | Healthlink Casino Queen | $6,188 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $6,251 |
| Consociate Group | All Commercial Consociate Group | $6,850 |
| Choicecare | All Commercial Choice Care | $7,006 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $7,006 |
| Multiplan/Phcs | All Commercial Multiplan | $7,006 |
| Cigna | Cigna Behavioral Health | $7,784 |
| City Of Springfield | City Of Springfield Workcomp | $7,784 |
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