CT abdomen and pelvis with contrast at MedStar National Rehabilitation Hospital. CPT 74177.
What MedStar National Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,349cash price (self-pay)
$2,076list price
$366–$1,765range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CareFirst Advantage Inc | CareFirst Medicare Advantage | $366 |
| UnitedHealthcare Insurance Company | Optum VA Community Care | $371 |
| Tricare | Tricare | $371 |
| United Healthcare-Ovations | United Secure | $373 |
| Aetna Medicare | Aetna Medicare | $376 |
| Kaiser Permanente | Kaiser Medicare Advantage | $384 |
| Humana | Humana Medicare Advantage | $384 |
| Health Care Service Corporation | Health Care Service Corporation | $384 |
| Aetna US Healthcare Inc | Aetna ALL HMO and PPO Plans | $438 |
| Kaiser Permanente | Kaiser VA MCO | $607 |
| Kaiser Permanente | All Kaiser Commercial | $1,163 |
| CareFirst Blue Choice Inc | All Carefirst PPO Plans | $1,266 |
| JHHC | JHHC Uniformed Services | $1,349 |
| Jhhc | Jhhc Ehp | $1,349 |
| Pfc | Pfc | $1,349 |
| United Healthcare | UnitedHealthcare Community Plan of Maryland | $1,412 |
| Medstar Family Choice Inc | Medstar Family Choice MD | $1,474 |
| Cigna HealthCare MidAtlantic Inc | All Cigna PPO | $1,557 |
| Cigna HealthCare Mid Atlantic | All Cigna HMO | $1,557 |
| Kaiser | Kaiser MD MCO | $1,623 |
| United Healthcare | United Healthcare All Commercial | $1,661 |
| Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS) | $1,765 |
| First Health | First Health | $1,765 |
Inpatient
$1,349cash price (self-pay)
$2,076list price
$1,017–$1,765range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CareFirst Blue Choice Inc | All Carefirst HMO Plans | $1,017 |
| CareFirst Blue Choice Inc | All Carefirst PPO Plans | $1,329 |
| JHHC | JHHC Uniformed Services | $1,349 |
| Jhhc | Jhhc Ehp | $1,349 |
| Pfc | Pfc | $1,349 |
| Cigna HealthCare MidAtlantic Inc | All Cigna PPO | $1,557 |
| Cigna HealthCare Mid Atlantic | All Cigna HMO | $1,557 |
| United Healthcare | United Healthcare All Commercial | $1,661 |
| Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS) | $1,765 |
| First Health | First Health | $1,765 |
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All common services at MedStar National Rehabilitation Hospital