CT abdomen and pelvis with contrast at Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital. CPT 74177.
What Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$6,049cash price (self-pay)
$8,642list price
$1,435–$8,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Plan [171] | Nlfh Aetna Nm Employees | $1,435 |
| Blue Cross Blue Shield [1401] | Nlfh BCBS HMO | $1,831 |
| Alternate Blue Cross [1402] | Nlfh BCBS HMO | $1,831 |
| Blue Cross Blue Shield [1401] | Nlfh BCBS Bluechoice Select | $2,022 |
| Blue Cross Blue Shield [1401] | Nlfh BCBS Bluechoice Preferred | $2,022 |
| Blue Cross Blue Shield [1401] | Nlfh BCBS Bluechoice Options | $2,022 |
| Alternate Blue Cross [1402] | Nlfh BCBS PPO | $2,359 |
| Blue Cross Blue Shield [1401] | Nlfh BCBS PPO | $2,359 |
| Blue Cross Blue Shield [1401] | Nlfh Bc Lake County Phys Assoc Ipa | $3,889 |
| Healthlink [125] | Nlfh Seiu Healthlink | $4,321 |
| Health'S Finest Network [126] | Nlfh Hfn Platinum/Chc Elite | $5,522 |
| The Alliance [1703] | Nlfh The Alliance | $5,551 |
| Beechstreet [176] | Nlfh Phcs | $6,914 |
| Multiplan/Phcs [142] | Nlfh Phcs | $6,914 |
| First Health Plan [6034] | Nlfh First Health | $7,086 |
| Health'S Finest Network [126] | Nlfh Hfn PPO | $7,778 |
| Multiplan/Phcs [142] | Nlfh Non-Contracted Payors | $8,642 |
| United Healthcare [158] | Nlfh UHC Non-Contracted Oon - Ed Only | $8,642 |
| Blue Cross Blue Shield [1401] | Nlfh BCBS Par/Indemnity Adp | $8,642 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.