CT abdomen and pelvis with contrast at Riverside Healthcare. CPT 74177.
What Riverside Healthcare publishes for this service, straight from its standard-charges file, last updated March 15, 2026.
Outpatient / ER
$2,502cash price (self-pay)
$9,400list price
$372–$1,260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of IL | Medicare Advantage | $372 |
| United Healthcare | Medicare Advantage | $372 |
| Aetna | Medicare Advantage Dual Plan | $383 |
| Molina | Medicare Advantage Dual Plan | $387 |
| Wellcare | Medicare Advantage Dual Plan | $391 |
| Rush Health Exchange | Commercial | $484 |
| Aetna | Commercial | $850 |
| Cigna | Commercial | $852 |
| Riverside Plans II | Commercial | $1,111 |
| Riverside Plans I | Commercial | $1,235 |
| Humana | Commercial | $1,260 |
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