CT abdomen and pelvis with contrast at Lucas County Health Center. CPT 74177.
What Lucas County Health Center publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$3,732cash price (self-pay)
$4,147list price
$2,281–$3,940range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Medicare Advantage | $2,281 |
| Humana Medicare Advantage | Medicare Advantage | $2,281 |
| WellMark Medicare Advantage | Medicare Advantage | $2,281 |
| United Healthcare Medicare Advantage | Medicare Advantage | $2,281 |
| Occunet | All Commercial Products | $2,488 |
| Molina | Medicaid | $2,903 |
| Iowa Total Care | Medicaid | $2,903 |
| United Healthcare | All Commercial Products | $3,231 |
| Humana ChoiceCare | All Commercial Products | $3,525 |
| Midlands Choice | All Commercial Products | $3,940 |
Inpatient
$3,732cash price (self-pay)
$4,147list price
$2,488–$3,940range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Occunet | All Commercial Products | $2,488 |
| Wellmark HMO | HMO | $2,737 |
| Wellmark PPO | PPO | $2,737 |
| United Healthcare | All Commercial Products | $3,231 |
| Humana ChoiceCare | All Commercial Products | $3,525 |
| Midlands Choice | All Commercial Products | $3,940 |
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