CT abdomen and pelvis with contrast at Springfield Memorial Hospital. CPT 74177.
What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$7,822cash price (self-pay)
$7,822list price
$265–$7,822range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantage | BCBS Medicare Advantage | $323 |
| Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du | $342 |
| Aetna | Aetna Medicare Advantage | $368 |
| Cigna | Cigna PPO | $1,041 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $1,760 |
| Health Alliance | Health Alliance ACA | $2,503 |
| Current Health Network PPO | Current Health Network PPO | $3,520 |
| Aetna | Aetna PPO | $3,582 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $3,598 |
| HealthLink | HealthLink EPO | $3,911 |
| Commercial Workers Compensation | Commercial Workers Compensation | $3,953 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $4,067 |
| Illinois Workers Compensation | Illinois Workers Compensation | $4,161 |
| PHCS/MultiPlan | PHCS Savility PPO | $4,224 |
| HealthLink | HealthLink HMO | $4,459 |
| Health Alliance | Health Alliance Self Funded | $4,529 |
| 6 Degrees Health | 6 Degrees Health | $4,693 |
| Hst | Hst | $4,693 |
| HopeTrust | HopeTrust | $4,693 |
| Humana | Humana PPO | $4,693 |
| Magellan | Magellan PPO | $4,693 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $4,693 |
| UnitedHealthCare | UnitedHealthCare PPO | $4,850 |
| HealthLink | HealthLink PPO | $4,928 |
| Consociate | Consociate PPO | $5,084 |
| Health Alliance | Health Alliance Gated PPO | $5,084 |
| HFN | HFN Platinum PPO | $5,084 |
| Hfn | Hfn PPO | $5,084 |
| Preferred Plan | Preferred Plan PPO | $5,867 |
| SOI McFarland | SOI McFarland PPO | $5,867 |
Inpatient
$7,822cash price (self-pay)
$7,822list price
$3,129–$7,822range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $3,129 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $3,598 |
| PHCS/MultiPlan | PHCS Savility PPO | $4,224 |
| Health Alliance | Health Alliance Gated PPO | $4,302 |
| Health Alliance | Health Alliance Self Funded | $4,529 |
| 6 Degrees Health | 6 Degrees Health | $4,693 |
| HopeTrust | HopeTrust | $4,693 |
| Hst | Hst | $4,693 |
| Humana | Humana PPO | $4,693 |
| Magellan | Magellan PPO | $4,693 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $4,693 |
| HFN | HFN Platinum PPO | $5,084 |
| Hfn | Hfn PPO | $5,084 |
| Preferred Plan | Preferred Plan PPO | $5,867 |
| SOI McFarland | SOI McFarland PPO | $5,867 |
| SOI Rushville | SOI Rushville PPO | $5,867 |
| Methodist First Choice | Methodist First Choice PPO | $6,258 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $6,649 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $7,822 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $7,822 |
| BCBS | Blue Cross Memorial Health System | $7,822 |
| Liability | Liability | $7,822 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.