CT abdomen and pelvis with contrast at Northwestern Medicine Valley West Hospital. CPT 74177.
What Northwestern Medicine Valley West 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
$1,642–$8,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alternate Humana Medicare Adv [2409] | Vwh Medicare | $1,642 |
| Global Excel [1712] | Vwh Medicare | $1,642 |
| Alternate Blue Cross Medicare Adv [2304] | Vwh Blue Cross Medicare Adv | $1,642 |
| Aetna Health Plan [171] | Vwh Aetna Nm Employees | $2,195 |
| Aetna Health Plan [171] | Vwh Aetna IL Preferred | $3,007 |
| Health'S Finest Network [126] | Vwh Hfn Nmh Tier One | $3,889 |
| The Alliance [1703] | Vwh The Alliance | $4,697 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Par/Indemnity Adp | $4,831 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Bluechoice Options | $5,220 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Bluechoice Select | $5,220 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Bluechoice Preferred | $5,444 |
| Blue Cross Blue Shield [1401] | Vwh BCBS HMO | $5,630 |
| Alternate Blue Cross [1402] | Vwh BCBS HMO | $5,630 |
| Choicecare [177] | Vwh Choice Care | $5,825 |
| Aetna Health Plan [171] | Vwh Aetna Asa | $5,989 |
| Healthlink [125] | Vwh Seiu Healthlink | $6,482 |
| Multiplan/Phcs [142] | Vwh Phcs | $6,914 |
| Blue Cross Blue Shield [1401] | Vwh BCBS PPO | $7,061 |
| Alternate Blue Cross [1402] | Vwh BCBS PPO | $7,061 |
| Health'S Finest Network [126] | Vwh Hfn | $7,346 |
| Multiplan/Phcs [142] | Vwh Multiplan | $7,562 |
| First Health Plan [6034] | Vwh Non-Contracted Payors | $8,642 |
| Multiplan/Phcs [142] | Vwh Non-Contracted Payors | $8,642 |
| United Healthcare [158] | Vwh UHC Non-Contracted Oon - Ed Only | $8,642 |
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All common services at Northwestern Medicine Valley West Hospital