CT abdomen and pelvis with contrast at MacNeal Hospital Gottlieb Community Health Services Corporation. CPT 74177.
What MacNeal Hospital Gottlieb Community Health Services Corporation publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
—cash price (self-pay)
$5,795list price
$64.03–$8,026range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS IL | PPO | $64.03 |
| Aetna | Medicaid | $316 |
| Meridian | Medicaid | $316 |
| Molina | Medicaid | $316 |
| BCBS IL | MMP/Duals | $346 |
| Aetna | Medicare Advantage | $372 |
| Aetna Better Health | MMP/Duals | $372 |
| VACCN United | Veterans Affairs | $372 |
| Humana | Medicare Advantage | $381 |
| Cigna | Medicare Advantage | $383 |
| Molina | Medicare Advantage | $391 |
| Wellcare | Medicare Advantage | $391 |
| Oscar IFP | Health Exchange | $410 |
| Humana | MMP/Duals | $421 |
| Meridian | MMP/Duals | $428 |
| Ambetter IFP | Health Exchange | $447 |
| Molina Marketplace IFP | Health Exchange | $465 |
| BCBS IL | Blue Choice | $506 |
| UHC | Navigate Core | $1,049 |
| Self Pay | Self Pay | $1,101 |
| UHC | All Products | $1,144 |
| Cigna | PPO | $1,170 |
| BCBS IL | Blue Precision | $1,196 |
| BCBS IL | HMO | $1,285 |
| Humana | PPO | $1,717 |
| Aetna | ASA | $2,799 |
| Aetna | FH-Medical Rental | $4,230 |
| Aetna | NAP | $4,619 |
Inpatient
—cash price (self-pay)
$5,795list price
$1,101–$8,026range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS IL | PPO | $2,209 |
| BCBS IL | HMO | $2,209 |
| BCBS IL | Blue Precision | $2,209 |
| BCBS IL | Blue Choice | $8,026 |
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All common services at MacNeal Hospital Gottlieb Community Health Services Corporation