CT abdomen and pelvis with contrast at OSF Little Company of Mary Medical Center. CPT 74177.
What OSF Little Company of Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,901cash price (self-pay)
$6,501list price
$180–$695range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Commercial Plans | $180 |
| Allwell | Medicare Managed Care | $374 |
| WellCare | Medicare Managed Care Plan | $378 |
| Aetna | Medicare Managed Care Plan | $381 |
| IlliniCare Health Plan | Ambetter Exchange | $449 |
| Molina Healthcare | Exchange | $523 |
| BCBS | Choice PPO | $695 |
Inpatient
$3,901cash price (self-pay)
$6,501list price
—range insurers pay
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at OSF Little Company of Mary Medical Center