CT abdomen and pelvis with contrast at Ascension Calumet Hospital. CPT 74177.
What Ascension Calumet Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,553cash price (self-pay)
$2,725list price
$91.80–$818range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Connection | 999_anthem Blue Connection Mewi Sewi 20230401 | $91.80 |
| Anthem HMO POS | 1000_anthem HMO POS Mewi Sewi 20230401 | $91.80 |
| Anthem Pathways | 946_anthem Pathways Mewi Sewi 20230101 | $91.80 |
| Anthem PPO | 1001_anthem PPO Mewi Sewi 20230401 | $91.80 |
| Centivo Nw1 | 892_centivo Nw1 Mewi Sewi 20221001 | $561 |
| Centivo Nw3 | 1013_centivo Nw3 Mewi Sewi 20221001 | $561 |
| Cchp | 931_cchp Mewi Sewi 20230101 | $611 |
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