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CT abdomen and pelvis with contrast at Gulf Breeze Hospital. CPT 74177.

What Gulf Breeze Hospital publishes for this service, straight from its standard-charges file, last updated December 23, 2025.

Outpatient / ER

$2,100cash price (self-pay)
$14,000list price
$206–$14,000range insurers pay
Insurance planNegotiated rate
UHC Community | Mcaid HMO$206
Aetna | Better Hlthy Kids$206
Cha Health Plan | HMO$206
Humana | Medicaid Ltc$216
Humana | Medicaid HMO$216
Sunshine Health | Caid HMO$216
FL Community Care Ltc | Mcaid$220
Simply Healthcare Healthy Kids | All Products$237
Wellcare | Mcare HMO$296
Bc FL Medicare PPO | All Products$338
Hospice Covenant | All Products$358
UHC | Mcare Adv Pln$360
UHC | Mcare Adv Dual Plan$360
Humana | Gold Plus HMO$366
Humana | Gold Choice Pffs$366
Humana | HMO Snp Dual Pln$366
Humana | Mcare Choice PPO$366
Aetna | Medicare$376
FL Blue | Truli For Health$599
FL Blue | My Blue Network$872
FL Blue | Simply Blue Network$1,029
FL Blue | Blue Select$1,029
Bc FL | Medicare HMO$1,043
FL Blue | Health Options HMO$1,174
FL Blue | Nwb - Blue Options$1,401
FL Blue | Ppc-Blue Choice$1,656
FL Blue | Indemnity$1,676
UHC Of FL | POS/HMO$1,900
Pensacola | Christian Coll$2,100
Hospice Regency | All Products$4,200

Inpatient

$2,100cash price (self-pay)
$14,000list price
$2,100–$14,000range insurers pay
Insurance planNegotiated rate
Wc Corvel | PPO$13,300
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All common services at Gulf Breeze Hospital