CT abdomen and pelvis with contrast at Northwestern Memorial Hospital. CPT 74177.
What Northwestern Memorial 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
$1,677–$8,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Plan [171] | Nmh Aetna Nm Employees | $1,677 |
| Curaechoice [6100] | Nmhc Curaechoice | $2,022 |
| Aetna Health Plan [171] | Nmhc Imagine Health | $2,333 |
| Imagine Health [6032] | Nmhc Imagine Health | $2,333 |
| Aetna Health Plan [171] | Nmh Aetna Bp | $2,593 |
| Aetna Health Plan [171] | Nmh Aetna Asa | $3,051 |
| Humana Health Plan [130] | Nmh Advocate Ipa | $3,457 |
| Humana Health Plan [130] | Nmh Chs Ipa | $3,457 |
| Humana Health Plan [130] | Nmhc Scpp Ipa | $3,889 |
| Blue Cross Blue Shield [1401] | Nmhc Scpp Ipa | $3,889 |
| Blue Cross Blue Shield [1401] | Nmhc Chwn Ipa | $3,889 |
| Humana Health Plan [130] | Nmhc Uic Ipa | $4,321 |
| Blue Cross Blue Shield [1401] | Nmhc Uic Ipa | $4,321 |
| Healthlink [125] | Nmh Seiu Healthlink | $4,321 |
| Global Medical Management Inc [6090] | Nmhc Gmmi | $5,012 |
| Health'S Finest Network [126] | Nmh Hfn Platinum/Chc Elite | $5,617 |
| Medpartners [6038] | Nmhc Medpartners | $6,049 |
| Multiplan/Phcs [142] | Nmh Phcs PPO | $6,914 |
| Cigna Health Plan [178] | Nmh Cigna Behavioral Health (Evernorth) | $6,914 |
| Health'S Finest Network [126] | Nmh Hfn/20 EPO | $7,086 |
| Health'S Finest Network [126] | Nmh Hfn/10 PPO | $7,346 |
| Aetna Health Plan [171] | Nmhc Non-Contracted Payors | $8,642 |
| Cigna Health Plan [178] | Nmhc Non-Contracted Payors | $8,642 |
| Galaxy Health Network [220] | Nmhc Non-Contracted Payors | $8,642 |
| Healthlink [125] | Nmhc Non-Contracted Payors | $8,642 |
| Multiplan/Phcs [142] | Nmhc Non-Contracted Payors | $8,642 |
| United Healthcare [158] | Nmhc Non-Contracted Payors | $8,642 |
| United Healthcare [158] | Nmhc UHC Ref Lab John Deere | $8,642 |
| Blue Cross Blue Shield [1401] | Nmhc Non-Contracted Payors | $8,642 |
| First Health Plan [6034] | Nmhc Non-Contracted Payors | $8,642 |
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