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

What Northwestern Medicine Kishwaukee 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

$1,581–$8,642range insurers pay

Insurance plan	Negotiated rate
Aetna Health Plan [171] \| Kh Aetna Nm Employees	$1,581
Aetna Health Plan [171] \| Kh Aetna Niu	$2,938
Aetna Health Plan [171] \| Kh Aetna IL Preferred	$3,102
Health'S Finest Network [126] \| Kh Hfn Nmh Tier One	$3,889
Blue Cross Blue Shield [1401] \| Kh BCBS Par/Indemnity Adp	$4,831
Blue Cross Blue Shield [1401] \| Kh BCBS Bluechoice Options	$5,220
Blue Cross Blue Shield [1401] \| Kh BCBS Bluechoice Preferred	$5,220
Blue Cross Blue Shield [1401] \| Kh BCBS Bluechoice Select	$5,220
The Alliance [1703] \| Kh The Alliance	$5,617
Alternate Blue Cross [1402] \| Kh BCBS HMO	$5,737
Blue Cross Blue Shield [1401] \| Kh BCBS HMO	$5,737
Alternate Blue Cross [1402] \| Kh BCBS PPO	$6,136
Blue Cross Blue Shield [1401] \| Kh BCBS PPO	$6,136
Healthlink [125] \| Kh Seiu Healthlink	$6,482
Aetna Health Plan [171] \| Kh Aetna Asa	$6,490
Choicecare [177] \| Kh Choice Care	$6,533
Multiplan/Phcs [142] \| Kh Multiplan	$6,741
Coventry [1218] \| Kh Personal Care	$7,432
Aetna Health Plan [171] \| Kh Personal Care	$7,432
First Health Plan [6034] \| Kh Personal Care	$7,432
Coventryone PPO [17110] \| Kh Personal Care	$7,432
Health'S Finest Network [126] \| Kh Hfn	$7,951
Blue Cross Blue Shield [1401] \| Kh Non-Contracted Payors	$8,642
Multiplan/Phcs [142] \| Kh Non-Contracted Payors	$8,642
United Healthcare [158] \| Kh UHC Non-Contracted Oon - Ed Only	$8,642
Optum/United Behavioral Health [157] \| Kh Optum Ubh Bhs Prof	$8,642

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