CT abdomen and pelvis with contrast at Powers Health Rehabilitation Center. CPT 74177.
What Powers Health Rehabilitation Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,806cash price (self-pay)
$4,677list price
$162–$3,975range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BX ILL HMO MCNP [315] | Powers Health Partners | $274 |
| CIGNA [365] | Cigna One Health HMO | $325 |
| MOE HST [495] | Moe HST | $369 |
| MEDICARE [100] | Medicare | $370 |
| MEDICARE REHAB [110] | Medicare | $370 |
| MEDICARE PSYCH [111] | Medicare | $370 |
| TRICARE [120] | Medicare | $370 |
| TRICARE PSYCH [121] | Medicare | $370 |
| TRICARE REHAB [122] | Medicare | $370 |
| CHAMPVA [130] | Medicare | $370 |
| VA [140] | Medicare | $370 |
| MEDICARE MANAGED CARE PLANS [152] | Medicare | $370 |
| LOCAL 697 [387] | Local 697 | $370 |
| MEDICARE MANAGED CARE PLANS [152] | UHC Devoted Medicare | $377 |
| CIGNA [365] | Cigna | $425 |
| GREAT WEST [455] | Cigna | $425 |
| IHN [467] | Cigna | $425 |
| AETNA [360] | Aetna NBD | $634 |
| AETNA [360] | Aetna | $653 |
| BLUE CROSS [300] | Anthem Blue Cross | $699 |
| BLUE CROSS [300] | Anthem Blue Cross Traditional | $699 |
| ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $699 |
| LOCAL 150 [471] | Anthem Blue Cross | $699 |
| BX ILL WITHOUT SUITCASE [606] | Anthem Blue Cross Traditional | $699 |
| ANTHEM X [801] | Anthem Blue Cross | $699 |
| ILLINOIS BX X [851] | Anthem Blue Cross Traditional | $699 |
| UHC [370] | UHC Navigate/Core | $853 |
| UMR EMPLOYEE [411] | UHC Navigate/Core | $853 |
| UHC [370] | UHC All Payors | $938 |
| COMMERCIAL [600] | UHC All Payors | $938 |
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