CT abdomen and pelvis with contrast at HSHS St. John's Hospital. CPT 74177.
What HSHS St. John's Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$5,456cash price (self-pay)
$7,578list price
$132–$7,578range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | Molina Medicaid | $277 |
| Meridian Health Plan | Meridian HMO Mcd | $290 |
| Healthlink | All Commercial Healthlink | $357 |
| Healthlink | All Commercial Healthlink - PPO | $357 |
| Healthlink | Healthlink Casino Queen | $357 |
| Healthlink | St Clair County Housing Authority | $357 |
| Aetna | Aetna Medicare | $374 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $374 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $374 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $374 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $374 |
| Coventry | Coventry Medicare Advantra | $374 |
| Humana | Humana Medicare | $374 |
| Humana | Humana Medicare Advantage | $374 |
| Molina Healthcare | Molina Medicare | $393 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $822 |
| Claim Doc | All Commercial Claim Doc | $935 |
| Hopetrust | All Commercial Hopetrust | $935 |
| Aetna | All Commercial Aetna | $967 |
| Cigna | All Commercial Cigna | $1,200 |
| Amish Community | Amish Community Discount | $2,122 |
| Amish Community | Plain Church Medical Group | $2,122 |
| Humana | Humana Choice Care HMO | $2,804 |
| Current Health Solutions | All Commercial Current Health Solutions | $3,789 |
| City Of Springfield | City Of Springfield Workcomp | $3,865 |
| Aetna | Aetna Hshs | $4,107 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $4,516 |
| Consociate Group | All Commercial Consociate Group | $5,305 |
| First Health | All Commercial First Health Network | $5,585 |
| Humana | Humana Choice Care PPO | $6,002 |
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