CT abdomen and pelvis with contrast at Labette Health. CPT 74177.
What Labette Health publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$2,753cash price (self-pay)
$3,933list price
$207–$3,539range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHCCP | Managed Medicaid | $260 |
| Celtic Sunflower | Managed Medicaid - Clinic | $263 |
| Multiplan (PHCS Medicaid network) | Managed Medicaid | $263 |
| Celtic Sunflower | Managed Medicaid - Hospital | $265 |
| Healthy Blue | Managed Medicaid | $265 |
| Allwell Sunflower | Medicare Advantage HMO | $321 |
| BCBS | Medicare Advantage | $321 |
| Humana | Medicare Advantage | $321 |
| United Healthcare | Medicare Advantage | $321 |
| Wellcare | Medicare Advantage | $321 |
| Kansas Superior Select | Medicare Advantage | $330 |
| Ambetter | All Products | $369 |
| BCBS | All Products | $480 |
| Montgomery County | All Products | $587 |
| Multiplan | All Products | $3,343 |
| United Healthcare | All Products | $3,421 |
| ChoiceCare (First Health Network) | All Products | $3,539 |
| Health Partners of Kansas, Inc | All Products | $3,539 |
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