CT abdomen and pelvis with contrast at HSHS St. Elizabeth's Hospital. CPT 74177.
What HSHS St. Elizabeth's Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$4,084cash price (self-pay)
$5,672list price
$132–$5,672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | Molina Medicaid | $277 |
| Meridian Health Plan | Meridian HMO Mcd | $290 |
| Healthlink | St Clair County Housing Authority | $318 |
| Healthlink | All Commercial Healthlink | $357 |
| Healthlink | All Commercial Healthlink - PPO | $357 |
| Healthlink | Healthlink Casino Queen | $357 |
| Aetna | Aetna Medicare | $372 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $372 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $372 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $372 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $372 |
| Coventry | Coventry Medicare Advantra | $372 |
| Humana | Humana Medicare | $372 |
| Live360 | Live360 Medicare Cost Plan | $372 |
| Sae Hospice | Sae Memorial Hospice | $372 |
| Molina Healthcare | Molina Medicare | $390 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $817 |
| Naphcare | All Commerical Naphcare | $836 |
| Aetna | All Commercial Aetna | $847 |
| Claim Doc | All Commercial Claim Doc | $929 |
| Hopetrust | All Commercial Hopetrust | $929 |
| Cigna | All Commercial Cigna | $1,021 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $1,070 |
| United Healthcare | All Commercial United Healthcare | $1,070 |
| Amish Community | Amish Community Discount | $1,588 |
| Amish Community | Plain Church Medical Group | $1,588 |
| Aetna | Aetna Hshs | $3,176 |
| First Health | All Commercial First Health Network | $4,214 |
| Multiplan/Phcs | All Commercial Multiplan | $4,538 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $4,821 |
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