CT abdomen and pelvis with contrast at Froedtert Bluemound Rehabilitation Hospital. CPT 74177.
What Froedtert Bluemound Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
—cash price (self-pay)
—list price
$363–$374range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $363 |
| Community Care | Medicare Advantage | $363 |
| Health Partners | Medicare Advantage | $363 |
| Humana Choice | Medicare Advantage | $363 |
| ICare | Medicare Advantage | $363 |
| Molina | Medicare Advantage | $363 |
| Network Health Plan | Medicare Advantage | $363 |
| Priority Health | Medicare Advantage | $363 |
| Quartz | Medicare Advantage | $363 |
| Security Health Plan | Medicare Advantage | $363 |
| United Healthcare | Medicare Advantage/Dual | $363 |
| Upper Peninsula Health Plan | Medicare Advantage | $363 |
| Aetna | Medicare Advantage | $370 |
| Wellcare | Medicare Advantage | $370 |
| Care Wisconsin/MyChoice | Medicare Advantage | $374 |
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All common services at Froedtert Bluemound Rehabilitation Hospital