CT abdomen and pelvis with contrast at Rochelle Community Hospital. CPT 74177.
What Rochelle Community Hospital publishes for this service, straight from its standard-charges file, last updated September 28, 2026.
Outpatient / ER
$6,575cash price (self-pay)
$6,575list price
$525–$6,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meridian Medicaid-All Plans | Meridian Medicaid-All Plans | $525 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $525 |
| BCBS Medicaid | BCBS Medicaid | $525 |
| Molina Medicaid - All Plans | Molina Medicaid - All Plans | $525 |
| UHC Mcr Adv | UHC Mcr Adv | $2,236 |
| Aetna Mcr Adv | Aetna Mcr Adv | $2,236 |
| Health Alliance Mcr Adv | Health Alliance Mcr Adv | $2,236 |
| Humana Mcr Adv | Humana Mcr Adv | $2,236 |
| Va Ccn - All Plans | Va Ccn - All Plans | $2,236 |
| BCBS Mcr Adv | BCBS Mcr Adv | $2,280 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $2,280 |
| Aetna-All Other Plans | Aetna-All Other Plans | $3,288 |
| Humana HMO Exhange | Humana HMO Exhange | $4,603 |
| OSF Dan PPO - All Plans | OSF Dan PPO - All Plans | $4,931 |
| Cigna-All Plans | Cigna-All Plans | $4,931 |
| Beech Street-All Plans | Beech Street-All Plans | $5,260 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $5,260 |
| First Health - All Plans | First Health - All Plans | $5,260 |
| Humana HMO/PPO - All Other Plans | Humana HMO/PPO - All Other Plans | $5,260 |
| Ecoh-All Plans | Ecoh-All Plans | $5,589 |
| Hfn-All Plans | Hfn-All Plans | $5,589 |
| The Alliance-All Plans | The Alliance-All Plans | $5,589 |
| Quartz Health Solutions-All Plans | Quartz Health Solutions-All Plans | $5,786 |
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $5,918 |
| UHC Options PPO | UHC Options PPO | $5,918 |
| BCBS HMO | BCBS HMO | $6,082 |
| Multiplan-All Plans | Multiplan-All Plans | $6,181 |
| BCBS Blue Choice-All Other Plans | BCBS Blue Choice-All Other Plans | $6,246 |
| BCBS PPO | BCBS PPO | $6,509 |
| BCBS Indemnity | BCBS Indemnity | $6,575 |
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