CT abdomen and pelvis with contrast at Shriners Children's Chicago. CPT 74177.
What Shriners Children's Chicago publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$3,510cash price (self-pay)
$3,510list price
$254–$523range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Soonercare | Managed Medicaid | $254 |
| Cigna | Commercial | $306 |
| Aetna Better Health of MI | Managed Medicaid | $374 |
| Healthlink | HMO | $379 |
| Healthlink | PPO | $379 |
| United Healthcare | Nat | $382 |
| Centene Ambetter | Centene Ambetter | $430 |
| Providence Health Plan | Commercial | $460 |
| Aetna National | Commercial | $495 |
| Sana Benefits | Commercial | $523 |
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