CT abdomen and pelvis with contrast at Lee Memorial Hospital. CPT 74177.
What Lee Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$2,810cash price (self-pay)
$15,287list price
$998–$13,220range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lee Health Care Partners [250255] | Key Benefit Admin [25025501] | $998 |
| Aetna [210101] | Aetna PPO [21010105] | $1,609 |
| BCBS [210001] | Bc FL PPO [21000101] | $2,735 |
| United Healthcare [210402] | United HMO/PPO [21040201] | $8,178 |
| Wellpoint [250265] | Wellpoint Florida [25026501] | $8,255 |
| Cigna [210201] | Cigna HMO/PPO [21020101] | $8,958 |
| Avmed Health Plan [250204] | Avmed Health Plan Contracted [25020401] | $9,019 |
| Global Excel Management [250241] | Global Excel Contracted [25024101] | $9,936 |
| Claritev/Multiplan [250223] | Claritev Multiplan Network [25022301] | $12,229 |
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