CT abdomen and pelvis with contrast at Ascension Sacred Heart Emerald Coast (Sacred Heart Health System, Inc.). CPT 74177.
What Ascension Sacred Heart Emerald Coast (Sacred Heart Health System, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,104cash price (self-pay)
$5,260list price
$358–$2,893range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mcr HMO | 868_medicare Advantage Aarp Outpatient 20250101 | $358 |
| Blue Mcr Replacement | 869_medicare Advantage Blue Outpatient 20250101 | $358 |
| Facility Billing - Op | 324_facility Billing Outpatient 20190101 | $358 |
| Medicare Replacement | 872_medicare Advantage Outpatient 20250101 | $358 |
| Triwest | 865_triwest Outpatient 20250101 | $358 |
| Wellcare | 900_medicare Advantage Wellcare Outpatient 20250101 | $358 |
| Healthspring Mcr Replacement | 870_medicare Advantage Cigna Healthspri | $362 |
| Smarthealth | 874_smarthealth PPO Outpatient 20250101 | $362 |
| UHC Medicare | 935_uhc Medicare Advantage Outpatient 20250501 | $362 |
| Aetna Medicare Advantage | 867_aetna Medicare Advantage Outpatient 202 | $369 |
| Humana Gold Choice Mcr Replacement | 871_medicare Advantage Humana Gol | $369 |
| Oscar Health Plan | 883_oscar Health Plan Outpatient 20250401 | $574 |
| Ambetter Commercial-Exchange | 864_sunshine Ambetter Commercial Health | $591 |
| Occunet | 707_medicare Advantage Occunet Outpatient 20221201 | $663 |
| Aetna | 901_aetna 20250701 | $731 |
| UHC | 913_united Health Care 20250701 | $824 |
| UHC Nhp | 914_united Health Care Nhp 20250701 | $824 |
| Cigna | 917_cigna 20250701 | $2,893 |
Inpatient
—cash price (self-pay)
—list price
$358–$807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mcr HMO | 956_medicare Advantage Aarp Inpatient 20251001 | $358 |
| Blue Mcr Replacement | 957_medicare Advantage Blue Inpatient 20251001 | $358 |
| Facility Billing - Op | 955_facility Billing Inpatient 20251001 | $358 |
| Medicare Replacement | 960_medicare Advantage Inpatient 20251001 | $358 |
| Triwest | 969_triwest Inpatient 20251001 | $358 |
| Wellcare | 962_medicare Advantage Wellcare Inpatient 20251001 | $358 |
| Smarthealth | 965_smarthealth PPO Inpatient 20251001 | $362 |
| UHC Medicare | 970_uhc Medicare Advantage Inpatient 20251001 | $362 |
| Healthspring Mcr Replacement | 958_medicare Advantage Cigna Healthspri | $366 |
| Aetna Medicare Advantage | 954_aetna Medicare Advantage Inpatient 2025 | $369 |
| Humana Gold Choice Mcr Replacement | 959_medicare Advantage Humana Gol | $369 |
| Oscar Health Plan | 964_oscar Health Plan Inpatient 20251001 | $574 |
| Ambetter Commercial-Exchange | 966_sunshine Ambetter Commercial Health | $591 |
| Occunet | 961_medicare Advantage Occunet Inpatient 20251001 | $807 |
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All common services at Ascension Sacred Heart Emerald Coast (Sacred Heart Health System, Inc.)