CT abdomen and pelvis with contrast at Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.). CPT 74177.
What Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,461cash price (self-pay)
$3,652list price
$384–$2,009range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Mcr Replacement | 729_medicare Advantage Blue Outpatient 20250101 | $384 |
| Medicare Replacement | 732_medicare Advantage Outpatient 20250101 | $384 |
| Veteran | 726_veteran Outpatient 20250101 | $384 |
| Wellcare | 758_medicare Advantage Wellcare Outpatient 20250101 | $384 |
| Healthspring Mcr Replacement | 730_medicare Advantage Cigna Healthsrpi | $388 |
| UHC Medicare | 787_uhc Medicare Advantage Outpatient 20250501 | $388 |
| Aetna Medicare Advantage | 728_aetna Medicare Advantage Outpatient 202 | $395 |
| Humana Gold Choice Mcr Replacement | 731_medicare Advantage Humana Out | $395 |
| Smarthealth | 734_smarthealth PPO Outpatient 20250101 | $538 |
| Oscar Health Plan | 742_oscar Health Plan Outpatient 20250401 | $614 |
| Ambetter Commercial-Exchange | 725_sunshine Health Ambetter Commercial | $633 |
| Occunet | 582_medicare Advantage Occunet Outpatient 20221201 | $710 |
| Aetna | 760_aetna 20250701 | $747 |
| UHC | 766_united Health Care 20250701 | $824 |
| UHC Nhp | 767_united Health Care Nhp Sh 20250701 | $824 |
| Cigna | 775_cigna 20250701 | $2,009 |
Inpatient
—cash price (self-pay)
—list price
$384–$864range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Mcr Replacement | 808_medicare Advantage Blue Inpatient 20251001 | $384 |
| Medicare Replacement | 811_medicare Advantage Inpatient 20251001 | $384 |
| Veteran | 806_veteran Inpatient 20251001 | $384 |
| Wellcare | 813_medicare Advantage Wellcare Inpatient 20251001 | $384 |
| UHC Medicare | 819_uhc Medicare Advantage Inpatient 20251001 | $388 |
| Healthspring Mcr Replacement | 809_medicare Advantage Cigna Healthspri | $392 |
| Aetna Medicare Advantage | 807_aetna Medicare Advantage Inpatient 2025 | $395 |
| Humana Gold Choice Mcr Replacement | 810_medicare Advantage Humana Inp | $395 |
| Smarthealth | 816_smarthealth PPO Inpatient 20251001 | $538 |
| Oscar Health Plan | 815_oscar Health Plan Inpatient 20251001 | $614 |
| Ambetter Commercial-Exchange | 817_sunshine Health Ambetter Commercial | $633 |
| Occunet | 812_medicare Advantage Occunet Inpatient 20251001 | $864 |
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All common services at Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.)