CT abdomen and pelvis with contrast at IU Health Frankfort Hospital. CPT 74177.
What IU Health Frankfort Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$875cash price (self-pay)
$2,168list price
$632–$1,995range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | All Government Medicaid HIP | $632 |
| Elevance Health | All Government Medicaid HIP | $632 |
| Managed Health Services | All Government Medicaid HIP | $632 |
| Managed Health Services | All Government Medicaid | $632 |
| Caresource | All Managed Medicaid | $632 |
| Elevance Health | All Managed Medicaid | $632 |
| United Healthcare | All Managed Medicaid | $632 |
| Aetna | HMO - Coventry Plans | $725 |
| Cigna | HMO/POS - Arnett Hospital Plans | $725 |
| Cigna | HMO | $725 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $725 |
| SIHO Insurance Services | All PPO Plans | $725 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $725 |
| Aetna | PPO - IN Preferred | $725 |
| Cigna | HMO - Open Access | $725 |
| Encore Health Network | PPO | $725 |
| Cigna | PPO | $725 |
| Aetna | POS - Cox Medical Plans | $725 |
| Aetna | PPO/POS | $725 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $725 |
| SIHO Insurance Services | HMO/POS Plans | $725 |
| Elevance Health | All IUHP Employee Plans | $725 |
| Elevance Health | All PPO | $725 |
| Elevance Health | All Traditional Plans | $725 |
| Elevance Health | All HMO/POS | $725 |
| United Healthcare | All Managed Care | $725 |
| Self-Pay | Other - Self-Pay | $875 |
| Suburban Health Organization | PPO - Direct | $1,138 |
| Suburban Health Organization | PPO - Witham Health Services | $1,138 |
| Aetna | PPO - NAP | $1,257 |
Inpatient
$1,339cash price (self-pay)
$3,315list price
$1,339–$3,315range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $1,339 |
| Elevance Health | All HMO/POS | $1,576 |
| Encore Health Network | PPO | $1,604 |
| Elevance Health | All PPO | $1,697 |
| Elevance Health | All IUHP Employee Plans | $1,697 |
| Suburban Health Organization | PPO - Direct | $1,740 |
| Elevance Health | All Traditional Plans | $1,740 |
| Suburban Health Organization | PPO - Witham Health Services | $1,740 |
| Aetna | PPO - IN Preferred | $1,783 |
| Aetna | POS - Cox Medical Plans | $1,783 |
| Aetna | PPO - NAP | $1,923 |
| Aetna | PPO - First Health | $1,923 |
| Community Health Direct | HMO - LaPorte Regional Plans | $1,956 |
| Aetna | HMO - Coventry Plans | $1,966 |
| Aetna | PPO/POS | $1,966 |
| Unified Group Services | HMO | $2,055 |
| United Healthcare | All Managed Care | $2,059 |
| Indiana Health Network (IHN) | All Managed Care | $2,082 |
| Cigna | HMO | $2,254 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $2,254 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $2,254 |
| Cigna | HMO/POS - Arnett Hospital Plans | $2,254 |
| Cigna | HMO - Open Access | $2,254 |
| Cigna | PPO | $2,254 |
| Lutheran Health Network | All Managed Care | $2,321 |
| Lutheran Preferred | All PPO Plans | $2,652 |
| Multiplan | PPO - PHCS Private Healthcare Plans | $2,818 |
| SIHO Insurance Services | All PPO Plans | $2,984 |
| SIHO Insurance Services | HMO/POS Plans | $2,984 |
| Multiplan | PPO - Multiplan Plans | $2,984 |
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