CT abdomen and pelvis with contrast at Dukes Memorial Hospital. CPT 74177.
What Dukes Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,754cash price (self-pay)
$7,507list price
$329–$7,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Caresource IN Medicaid | $487 |
| Anthem Blue Cross Blue Shield | Anthem IN Medicaid | $632 |
| CareSource | CareSource HHW IN Medicaid | $632 |
| Caresource | Caresource IN HIP | $632 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $632 |
| Medicaid IN | IN Medicaid | $632 |
| Medicaid Non Par | IN Medicaid Non-Par | $632 |
| Healthy Indiana Program-Anthem | Anthem IN HIP | $1,501 |
| IN Dept of Correction | IN DOC | $1,561 |
| Three Rivers Preferred Plus | Lutheran Preferred Three Rivers Plus | $2,009 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $2,115 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $2,115 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $2,221 |
| Lutheran Advanced Network | Lutheran Advanced Network | $2,252 |
| NODE Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $2,252 |
| Lutheran Three Rivers Preferred Plus 150 | Lutheran Three Rivers Prefe | $2,252 |
| Align Network | Align IN Work Comp | $2,402 |
| Anthem Blue Cross Blue Shield | Anthem IN Work Comp | $2,402 |
| Lutheran Three Rivers Preferred Plus 175 | Lutheran Three Rivers Prefe | $2,627 |
| Aetna | Aetna NBD | $2,703 |
| Aetna PSSD J&J | Aetna PSSD JJ | $2,703 |
| Encore Work Comp IN | Encore Work Comp IN | $2,703 |
| Work Comp | IN Work Comp | $3,003 |
| Lutheran Northwest Health Preferred | Lutheran Northwest Health Prefer | $3,003 |
| CIGNA | Cigna All | $3,183 |
| Lutheran Preferred | Lutheran Preferred Fixed | $3,378 |
| Three Rivers Preferred | Lutheran Preferred Three Rivers | $3,378 |
| Aetna | Aetna All | $3,573 |
| Encore KBA EPO | Encore KBA EPO | $3,603 |
| Amish Aid | Amish Aid | $3,754 |
Inpatient
$4,129cash price (self-pay)
$7,507list price
$2,387–$6,911range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | NODE Lutheran Preferred CHS Employees | $2,387 |
| Aetna | Aetna NBD | $2,703 |
| Aetna PSSD J&J | Aetna PSSD JJ | $2,703 |
| Physicians Health Plan | PHP Platinum | $3,019 |
| Physicians Health Plan | PHP Options | $3,124 |
| Lutheran Preferred | Lutheran Preferred Fixed | $3,378 |
| PHP Freedom | PHP Freedom Network | $3,466 |
| Physicians Health Plan | PHP Classic | $3,500 |
| Node Va | Node Va | $3,626 |
| United Healthcare | UHC APA | $3,693 |
| Self Pay | Self Pay | $4,129 |
| Sagamore Health Network | Sagamore | $4,159 |
| Consumer Life | Consumer Life/MMO | $4,654 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $4,654 |
| Lutheran Preferred | Lutheran Preferred Choice | $4,880 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $4,880 |
| Prime Health Services | Prime Health Services | $5,630 |
| Prime Health Services | Prime Health Services Auto | $5,630 |
| First Health | First Health | $6,006 |
| Lutheran Preferred | Lutheran Preferred CCSI | $6,006 |
| Multiplan | Multiplan Complementary | $6,081 |
| MultiPlan | Multiplan Primary | $6,081 |
| Encore Health Network | Encore PPO Fully Insured | $6,156 |
| Advantage Health Solutions | Advantage Health Solutions | $6,231 |
| Encore | Encore PPO Self Insured | $6,756 |
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