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CT abdomen and pelvis with contrast at cleveland clinic childrens hospital for rehabilitation. CPT 74177.

What cleveland clinic childrens hospital for rehabilitation publishes for this service, straight from its standard-charges file, last updated June 15, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$547–$634range insurers pay
Insurance planNegotiated rate
OPTUM | Managed Medicaid Transplant$547
Paramount | Managed Medicaid$593
ANTHEM | Managed Medicaid$605
MOLINA | Managed Medicaid$605
CARESOURCE | Managed Medicaid$616
UNITED | Managed Medicaid$616
AMERIHEALTH | Managed Medicaid$634
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All common services at cleveland clinic childrens hospital for rehabilitation