CT abdomen and pelvis with contrast at Northwestern Medicine Palos Hospital. CPT 74177.
What Northwestern Medicine Palos 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
$1,383–$8,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Options | $1,383 |
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Preferred | $1,383 |
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Options Select | $1,383 |
| Blue Cross Blue Shield [1401] | Ph BCBS PPO | $1,659 |
| Alternate Blue Cross [1402] | Ph BCBS PPO | $1,659 |
| Aetna Health Plan [171] | Ph Aetna Nm Employees | $1,858 |
| Aetna Health Plan [171] | Ph Aetna IL Preferred | $2,930 |
| Blue Cross Blue Shield [1401] | Ph BCBS HMO | $3,382 |
| Alternate Blue Cross [1402] | Ph BCBS HMO | $3,382 |
| Healthlink [125] | Ph Seiu Healthlink | $4,321 |
| Carelon Behavioral Health [159] | Ph Value Options Bho | $4,321 |
| Magellan Behavioral Hlth [136] | Ph Magellan Bhs | $5,185 |
| The Alliance [1703] | Ph The Alliance | $5,551 |
| First Health Plan [6034] | Ph First Health | $6,482 |
| Beechstreet [176] | Ph Beechstreet | $6,914 |
| Cigna Health Plan [178] | Ph Cigna Behavioral Bhs | $6,914 |
| Health'S Finest Network [126] | Ph Hfn | $7,346 |
| Health Alliance [181] | Ph Non-Contracted Payors | $8,642 |
| Healthlink [125] | Ph Non-Contracted Payors | $8,642 |
| Global Excel [1712] | Ph Non-Contracted Payors | $8,642 |
| Multiplan/Phcs [142] | Ph Non-Contracted Payors | $8,642 |
| Galaxy Health Network [220] | Ph Non-Contracted Payors | $8,642 |
| United Healthcare [158] | Ph Non-Contracted Payors | $8,642 |
| Cigna Health Plan [178] | Ph Non-Contracted Payors | $8,642 |
| Blue Cross Blue Shield [1401] | Ph BCBS Par/Indemnity Adp | $8,642 |
| United Healthcare [158] | Ph UHC Non-Contracted Oon - Ed Only | $8,642 |
| Aetna Health Plan [171] | Ph Non-Contracted Payors | $8,642 |
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