CT abdomen and pelvis with contrast at CHI Health Nebraska Heart. CPT 74177.
What CHI Health Nebraska Heart publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,404cash price (self-pay)
$5,227list price
$291–$4,286range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $291 |
| Centene | Medicaid|IA Total Care | $291 |
| IAMolina | Medicaid|All Plans | $297 |
| BCBS - NE | Medicare|All Plans | $345 |
| Humana | Medicare|All Plans | $345 |
| Medica | Medicare|All Plans | $345 |
| PACE | Medicare|All Plans | $345 |
| United | Medicare|All Plans | $345 |
| Centene | Medicare|All Plans | $355 |
| Amerigroup | Medicare|All Plans | $362 |
| Great Plains | Medicare|All Plans | $362 |
| Medica | Commercial|ACO | $427 |
| Medica | Commercial|CHI Health | $611 |
| Medica | Commercial|All Other Plans | $640 |
| AMPS | Commercial|All Plans | $765 |
| United | Medicaid|Community Plan | $1,254 |
| Centene | Medicaid|NE Total Care | $1,267 |
| United | Commercial|All Plans | $2,099 |
| Greater Omaha Packing | Commercial|Narrow Network | $3,241 |
| Millard Public Schools | Commercial|Narrow Network | $3,241 |
| One World | Commercial|Narrow Network | $3,241 |
| Medica | Commercial|Open Access | $3,659 |
| Midlands Choice | Commercial|Standard | $3,659 |
| Greater Omaha Packing | Commercial|Broad Network | $3,711 |
| Millard Public Schools | Commercial|Broad Network | $3,711 |
| One World | Commercial|Broad Network | $3,711 |
| Timpte | Commercial|Broad Network | $3,711 |
| MultiPlan PHCS | Commercial|All Plans | $3,920 |
| ELAP | Commercial|All Plans | $4,286 |
Inpatient
$2,404cash price (self-pay)
$5,227list price
$3,711–$3,920range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|Open Access | $3,711 |
| MultiPlan PHCS | Commercial|All Plans | $3,920 |
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