CT abdomen and pelvis with contrast at Hca Florida Lake City Hospital. CPT 74177.
What Hca Florida Lake City Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$21,528cash price (self-pay)
$23,688list price
$828–$21,319range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Aetna | QHP | $968 |
| AvMed | HIX | $1,020 |
| Aetna | HMO | $1,266 |
| Aetna | PPO | $1,266 |
| Aetna | HMO/PPO | $1,332 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Simply | MGMCR | $3,648 |
| CorVel Corporation | WORKERSCOMP | $4,263 |
| Prime Health | WC | $4,353 |
| Careworks (Rockport Community) | WORKERSCOMP | $4,487 |
| United | OptionsPPO | $5,590 |
| Sunshine State Health Plan | QHP | $6,041 |
| Aetna | ASA | $7,106 |
| Molina Healthcare | HIX | $7,580 |
| United | GlobalBenefitPlan | $10,660 |
| AvMed | HIXOON | $11,844 |
| Plotkin Health | COMM | $11,844 |
| Prime Health Sheriff | COMM | $11,844 |
| Prime Health Sheriff | WORKERSCOMP | $11,844 |
| Hamilton County Jail | Prison | $12,792 |
| Multiplan | Primary | $18,477 |
| Evolutions | TRADITIONALPPO | $20,135 |
| Multiplan | Complementary | $20,135 |
| PPO Next | COMM | $20,135 |
| PPO Next | PPO | $20,135 |
| NovaNet | COMM | $21,319 |
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