CT abdomen and pelvis with contrast at Baptist Health La Grange. CPT 74177.
What Baptist Health La Grange publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$1,939cash price (self-pay)
$4,930list price
$233–$14,548range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthlink-All Plans | Healthlink-All Plans | $326 |
| Anthem Blue Access PPO | Anthem Blue Access PPO | $416 |
| Anthem Indiv On/Off Exch | Anthem Indiv On/Off Exch | $416 |
| Anthem Path HMO | Anthem Path HMO | $416 |
| Anthem Path Hpn | Anthem Path Hpn | $416 |
| Anthem Blue Pref HMO | Anthem Blue Pref HMO | $416 |
| Aetna Better Hlth Mcaid | Aetna Better Hlth Mcaid | $444 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $444 |
| UHC Mcaid | UHC Mcaid | $444 |
| Humana Mcaid | Humana Mcaid | $444 |
| Wellcare Mcaid - All Plans | Wellcare Mcaid - All Plans | $444 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $751 |
| Cigna - All Plans | Cigna - All Plans | $1,013 |
| Anthem Bhs1 | Anthem Bhs1 | $1,214 |
| Aetna New Bus | Aetna New Bus | $1,898 |
| Anthem Blue Trad - All Other Plans | Anthem Blue Trad - All Other Plan | $2,481 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $2,536 |
| Phcs-All Plans | Phcs-All Plans | $3,451 |
| Siho-All Plans | Siho-All Plans | $3,944 |
| Multiplan-All Plans | Multiplan-All Plans | $4,191 |
| Center Care-All Plans | Center Care-All Plans | $4,406 |
| Aetna Mcr Adv | Aetna Mcr Adv | $4,930 |
| Signature Adv - All Plans | Signature Adv - All Plans | $4,930 |
| Passport Mcr Adv - All Other Plans | Passport Mcr Adv - All Other Plan | $4,930 |
| Passport Mcr/Mcd Adv | Passport Mcr/Mcd Adv | $4,930 |
| Anthem Mcr Adv | Anthem Mcr Adv | $4,955 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $5,177 |
| Caresource-All Plans | Caresource-All Plans | $8,874 |
| Ambetter/Wcare Direct Ind - All Other Plans | Ambetter/Wcare Direct In | $9,495 |
| Ambetter/Wcare Ind Mrkt | Ambetter/Wcare Ind Mrkt | $9,495 |
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