CT abdomen and pelvis with contrast at Lawrence County Memorial Hospital. CPT 74177.
What Lawrence County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
—cash price (self-pay)
$5,607list price
$473–$600range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | M6 | $473 |
| Humana | MB6 | $473 |
| Humana | MC6 | $473 |
| Humana | MP6 | $473 |
| Humana | MS6 | $473 |
| Medicare_lab_drop_offs | Mbs | $473 |
| Medicare_outpatient | Mb2 | $473 |
| Medicare_recurring | Mb1 | $473 |
| Medicare_rural_health_clinic | Mb4 | $473 |
| Medicare_swingbed | Msc | $473 |
| Tricare_For_Life | S1 | $473 |
| Tricare_For_Life | SB2 | $473 |
| Tricare_For_Life | SBB | $473 |
| Tricare_For_Life_Lab | SBL | $473 |
| Tricare_For_Life_Recurring | STR | $473 |
| Tricare_For_Life_RHC | SC1 | $473 |
| Tricare_For_Life_Swingbed | SS1 | $473 |
| Tricare_lab_drop_off | Sbs | $473 |
| Tricare_outpatient | Sb | $473 |
| Tricare_rhc_scc | Scc | $473 |
| Tricare_rural_health_clinic | Sb4 | $473 |
| Tricare_swingbed | Ss | $473 |
| Cigna_healthcare_outpatient | Eb | $600 |
| Cigna_healthcare_reoccurring | Ebr | $600 |
| Cigna_non_state_of_il_ec1 | Ec1 | $600 |
| Cigna_non_state_of_il_ep1 | Ep1 | $600 |
| Cigna_state_of_il_eb5 | Eb5 | $600 |
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