CT abdomen and pelvis with contrast at Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.). CPT 74177.
What Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$143–$1,007range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Network Health Plan | 1136_network Health Plan 20221001 | $379 |
| Humana HMO POS | 1127_humana 20221001 | $613 |
| Humana PPO | 1133_humana PPO 20221001 | $613 |
| Humana Preferred | 1134_humana Preferred 20221001 | $613 |
| UHC Non Options PPO | 1130_united Health Care Nonoptions 20221001 | $613 |
| Alliance | 1066_alliance 20220101 | $703 |
| Cchp Marketplace | 1124_cchp Marketplace 20221001 | $828 |
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