CT abdomen and pelvis with contrast at HSHS St. Mary's Hospital. CPT 74177.
What HSHS St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$5,912cash price (self-pay)
$8,211list price
$138–$8,211range 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 |
| 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 |
| 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 |
| Cigna | All Commercial Cigna | $1,200 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $1,311 |
| United Healthcare | All Commercial United Healthcare | $1,311 |
| Amish Community | Amish Community Discount | $2,299 |
| Amish Community | Plain Church Medical Group | $2,299 |
| Aetna | All Commercial Aetna | $2,989 |
| Aetna | Aetna Hshs | $4,516 |
| Current Health Solutions | All Commercial Current Health Solutions | $4,927 |
| Choicecare | All Commercial Choice Care | $5,748 |
| Consociate Group | All Commercial Consociate Group | $5,748 |
| First Health | All Commercial First Health Network | $6,068 |
| Cigna | Cigna Behavioral Health | $6,569 |
| Multiplan/Phcs | All Commercial Multiplan | $6,569 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $6,979 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $7,390 |
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