CT abdomen and pelvis with contrast at Northwestern Medicine Marianjoy Rehabilitation Hospital. CPT 74177.
What Northwestern Medicine Marianjoy Rehabilitation 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
$3,630–$8,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Plan [171] | Mrh Imagine Health | $3,630 |
| Imagine Health [6032] | Mrh Imagine Health | $3,630 |
| Aetna Health Plan [171] | Mrh Aetna Nm Employees | $4,062 |
| Cigna Health Plan [178] | Mrh Cigna Broad | $4,321 |
| The Alliance [1703] | Mrh The Alliance | $4,697 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Bluechoice Preferred | $4,710 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Bluechoice Select | $4,710 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Bluechoice Options | $4,710 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Par/Indemnity Adp | $4,831 |
| Blue Cross Blue Shield [1401] | Mrh BCBS HMO | $5,050 |
| Alternate Blue Cross [1402] | Mrh BCBS HMO | $5,050 |
| Blue Cross Blue Shield [1401] | Mrh University Of IL Med Center - Ipa | $5,185 |
| Blue Cross Blue Shield [1401] | Mrh Dreyer - Ipa | $5,185 |
| Humana Health Plan [130] | Mrh University Of IL Med Center - Ipa | $5,185 |
| Cigna Health Plan [178] | Mrh Cigna Narrow | $5,185 |
| Humana Health Plan [130] | Mrh Dreyer - Ipa | $5,185 |
| Blue Cross Blue Shield [1401] | Mrh BCBS PPO | $5,306 |
| Alternate Blue Cross [1402] | Mrh BCBS PPO | $5,306 |
| Healthlink [125] | Mrh Seiu Healthlink | $5,444 |
| Blue Cross Blue Shield [1401] | Mrh Loyola University Med Center - Ipa | $5,617 |
| First Health Plan [6034] | Mrh First Health | $5,782 |
| Multiplan/Phcs [142] | Mrh Phcs | $6,914 |
| Health'S Finest Network [126] | Mrh Hfn | $7,519 |
| Aetna Health Plan [171] | Mrh Non-Contracted Payors | $8,642 |
| First Health Plan [6034] | Mrh Non-Contracted Payors | $8,642 |
| Humana Health Plan [130] | Mrh Non-Contracted Payors | $8,642 |
| Multiplan/Phcs [142] | Mrh Non-Contracted Payors | $8,642 |
| United Healthcare [158] | Mrh Non-Contracted Payors | $8,642 |
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All common services at Northwestern Medicine Marianjoy Rehabilitation Hospital