CT abdomen and pelvis with contrast at Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.). CPT 74177.
What Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,729cash price (self-pay)
$4,451list price
$358–$2,270range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Mcr Replacement | 2433_medicare Advantage Blue Outpatient Psh 202 | $358 |
| Facility Billing - Op | 1472_facility Billing Outpatient Psh 20190101 | $358 |
| Medicare Advantage | 2438_medicare Advantage Outpatient Psh 20250101 | $358 |
| Wellcare | 2493_medicare Advantage Wellcare Outpatient Psh 20250101 | $358 |
| Healthspring Mcr Replacement | 2435_medicare Advantage Cigna Healthspr | $362 |
| UHC Medicare | 2548_uhc Medicare Advantage Outpatient Psh 20250501 | $362 |
| Aetna Mcr Replacement | 2429_aetna Medicare Advantage Outpatient Psh 2 | $369 |
| Humana Gold Choice Mcr Replacement | 2437_medicare Advantage Humana Go | $369 |
| Smarthealth | 2442_smarthealth Outpatient 20250101 | $502 |
| Oscar Health Plan | 2456_oscar Health Plan Outpatient 20250401 | $574 |
| Ambetter Commercial-Exchange | 2426_sunshine Health Ambetter Commercia | $591 |
| Occunet | 2114_medicare Advantage Occunet Outpatient 20221201 | $663 |
| UHC HMO | 2529_united Health Care HMO Psh 20250701 | $824 |
| UHC Nhp | 2530_united Health Care Nhp Psh 20250701 | $824 |
| Aetna | 2494_aetna Psh 20250701 | $1,359 |
| Cigna | 2531_cigna Psh 20250701 | $2,270 |
Inpatient
—cash price (self-pay)
—list price
$358–$807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Mcr Replacement | 2597_medicare Advantage Blue Inpatient Psh 2025 | $358 |
| Facility Billing - Op | 2595_facility Billing Inpatient Psh 20251001 | $358 |
| Medicare Advantage | 2602_medicare Advantage Inpatient Psh 20251001 | $358 |
| Wellcare | 2605_medicare Advantage Wellcare Inpatient Psh 20251001 | $358 |
| UHC Medicare | 2615_uhc Medicare Advantage Inpatient Psh 20251001 | $362 |
| Healthspring Mcr Replacement | 2599_medicare Advantage Cigna Healthspr | $366 |
| Aetna Mcr Replacement | 2593_aetna Medicare Advantage Inpatient Psh 20 | $369 |
| Humana Gold Choice Mcr Replacement | 2601_medicare Advantage Humana Go | $369 |
| Smarthealth | 2610_smarthealth Inpatient 20251001 | $502 |
| Oscar Health Plan | 2609_oscar Health Plan Inpatient 20251001 | $574 |
| Ambetter Commercial-Exchange | 2611_sunshine Health Ambetter Commercia | $591 |
| Occunet | 2603_medicare Advantage Occunet Inpatient 20251001 | $807 |
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All common services at Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.)