CT abdomen and pelvis with contrast at Northwestern Medicine Delnor Hospital. CPT 74177.

What Northwestern Medicine Delnor 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

$1,288–$8,642range insurers pay

Insurance plan	Negotiated rate
Blue Cross Blue Shield [1401] \| Dch BCBS Bluechoice Options	$1,288
Blue Cross Blue Shield [1401] \| Dch BCBS Bluechoice Select	$1,288
Aetna Health Plan [171] \| Dch Aetna Nm Employees	$1,409
Blue Cross Blue Shield [1401] \| Dch BCBS Bluechoice Preferred	$1,556
Alternate Blue Cross [1402] \| Dch BCBS PPO	$2,014
Blue Cross Blue Shield [1401] \| Dch BCBS PPO	$2,014
Health'S Finest Network [126] \| Dch Hfn Nmh Tier One	$4,321
Carelon Behavioral Health [159] \| Dch Beacon Health Options Bhs	$4,321
Blue Cross Blue Shield [1401] \| Dch BCBS Par/Indemnity Adp	$4,831
Healthlink [125] \| Dch Seiu Healthlink	$5,444
The Alliance [1703] \| Dch The Alliance	$5,551
Health'S Finest Network [126] \| Dch Hfn Plat	$5,617
Aetna Health Plan [171] \| Dch Aetna Asa	$5,868
First Health Plan [6034] \| Dch First Health	$5,963
Alternate Blue Cross [1402] \| Dch BCBS HMO	$6,025
Blue Cross Blue Shield [1401] \| Dch BCBS HMO	$6,025
Health'S Finest Network [126] \| Dch Hfn EPO	$6,482
Multiplan/Phcs [142] \| Dch Phcs	$6,482
Compsych [112] \| Dch Compsych	$6,914
Cigna Health Plan [178] \| Dch Cigna Behavioral Bhs	$6,914
Health'S Finest Network [126] \| Dch Hfn PPO	$7,346
Beechstreet [176] \| Dch Beech Street/Capp Care	$7,778
Multiplan/Phcs [142] \| Dch Multiplan	$7,778
United Healthcare [158] \| Dch UHC Non-Contracted Oon - Ed Only	$8,642
Multiplan/Phcs [142] \| Dch Non-Contracted Payors	$8,642

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