CT abdomen and pelvis with contrast at Elmhurst Hospital Center. CPT 74177.
What Elmhurst Hospital Center publishes for this service, straight from its standard-charges file, last updated September 5, 2026.
Outpatient / ER
$423cash price (self-pay)
$1,343list price
$1.00–$1,290range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | ALL PRODUCTS | $256 |
| Aetna | MEDICARE ADVANTAGE | $256 |
| MetroPlus | Essential Plan 1-2 | $337 |
| MetroPlus | Essential Plan 3-4 | $337 |
| MetroPlus | Essential Plan 200-250 | $337 |
| EMBLEM | PPO_Commercial | $349 |
| Emblem | Hip_ghi_chp | $349 |
| Fidelis | MAP | $368 |
| Anthem | Medicare Advantage | $423 |
| Emblem | Medicare Advantage | $423 |
| Senior Whole Health | MLTC | $429 |
| Amidacare | Managed Medicaid | $435 |
| Centerlight | PACE | $435 |
| Elderplan | MAP_Medicare Advantage_MLTC | $435 |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $438 |
| Anthem HealthPlus | EXCHANGE | $438 |
| Carelon | Managed Medicaid_HARP_CHP | $438 |
| Carelon | Commercial_Essential Plans | $438 |
| Carelon | GHI BMP | $438 |
| Affinity | HARP_Managed Medicaid | $447 |
| Carelon (Amida Care) | Managed Medicaid | $447 |
| United | All Products | $450 |
| Affinity | CHP | $460 |
| Anthem HealthPlus | CHP | $482 |
| EMBLEM | HARP_Managed Medicaid | $547 |
| ANTHEM | Blue Access Small Group | $735 |
| ANTHEM | Small Group EPO_PPO | $735 |
| ANTHEM | Blue Access Large Group | $756 |
| Anthem | HMO | $817 |
| Anthem | Indemnity | $817 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.