CT abdomen and pelvis with contrast at Hca Florida Lake Monroe Hospital. CPT 74177.
What Hca Florida Lake Monroe Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$29,551cash price (self-pay)
$29,551list price
$828–$26,595range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Aetna | QHP | $1,186 |
| Aetna | HMO | $1,460 |
| Aetna | PPO | $1,460 |
| Aetna | HMO/PPO | $1,537 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Freedom Health | MCR | $2,128 |
| Optimum | MGMCR | $2,128 |
| CorVel Corporation | WORKERSCOMP | $4,537 |
| Simply | MGMCR | $4,551 |
| Prime Health | WC | $4,633 |
| Careworks (Rockport Community) | WORKERSCOMP | $4,776 |
| Molina Healthcare | MGMCR | $5,615 |
| Sunshine State Health Plan | QHP | $7,535 |
| Aetna | ASA | $8,865 |
| Molina Healthcare | HIX | $9,456 |
| United | OptionsPPO | $9,870 |
| United | GlobalBenefitPlan | $13,298 |
| AmeriHealth Caritas | HIX | $14,775 |
| AvMed | HIXOON | $14,775 |
| Plotkin Health | COMM | $14,775 |
| Prime Health Sheriff | COMM | $14,775 |
| Prime Health Sheriff | WORKERSCOMP | $14,775 |
| Multiplan | PRIMARYPPO | $22,163 |
| Three Rivers Provider Network | WorkersComp | $22,163 |
| Multiplan | Primary | $23,049 |
| Multiplan | Complementary | $25,118 |
| Multiplan | COMPLEMENTARYPPO | $25,118 |
| PPO Next | COMM | $25,118 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.