CT abdomen and pelvis with contrast at Abbeville General Hospital. CPT 74177.
What Abbeville General Hospital publishes for this service, straight from its standard-charges file, last updated February 9, 2026.
Outpatient / ER
$2,497cash price (self-pay)
$4,995list price
$179–$4,995range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriWest Healthcare Alliance | Tricare West Region | $179 |
| Cigna | Cigna Healthcare Professional | $202 |
| Humana Health Plan of Louisiana | Humana Medicare Advantage | $284 |
| Blue Cross and Blue Shield of Louisiana | Blue Cross Blue Shield of Lo | $290 |
| Aetna Health Management LLC | Aetna Medicare HMO/Aetna Medicare Dual | $311 |
| Healthy Blue | Healthy Blue Dual Advantage 2 (HMO-D-SNP) | $311 |
| People's Health | Peoples Health | $311 |
| UHC | UHC Dual / UHC Medicare Advantage | $311 |
| Humana Medicare Behavioral Health | Humana Medicare Behavioral Health | $316 |
| Medicare Assign | Medicare Assign | $316 |
| Sierra Health and Life Insurance | Sierra Health | $316 |
| Sterling Life Insurance Company | Sterling | $316 |
| United Healthcare - VA CCN | United Healthcare - VA CCN | $316 |
| Med-Comp USA Inc | Med-Comp | $518 |
| Office of Group Benefits | OGB | $585 |
| Vantage Health Plan | Vantage Health Plan Commercial | $668 |
| Blue Cross and Blue Shield of Louisiana | BCBS Preferred Provider Prog | $735 |
| Blue Cross and Blue Shield of Louisiana | BCBS Traditional Program | $735 |
| Blue Cross and Blue Shield of Louisiana | BCBSLA - HMO / PPO / Blue Co | $735 |
| Humana Health Plan of Louisiana | Humana Commercial/Self-Funded/HMOx | $790 |
| BCBS | BCBS LA - HMO PPO Traditional | $989 |
| Magellan Behavioral Health | Magellan Behavioral Health | $1,555 |
| CIGNA Healthcare of Louisiana | CIGNA | $2,477 |
| Self Pay | Self Pay | $2,497 |
| Humana Military Healthcare Services | Humana Military | $3,246 |
| Aetna Health Management LLC | Aetna | $3,496 |
| Humana Health Plan of Louisiana | Humana | $3,746 |
| United Behavioral Health Inc | UBH | $3,746 |
| Gilsbar PPO | Gilsbar | $3,746 |
| PPO Plus | PPO Plus | $3,746 |
Inpatient
$2,497cash price (self-pay)
$4,995list price
$2,477–$8,990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthcare of Louisiana | CIGNA | $2,477 |
| Self Pay | Self Pay | $2,497 |
| Aetna Health Management LLC | Aetna | $3,496 |
| United Behavioral Health Inc | UBH | $3,746 |
| PPO Plus | PPO Plus | $3,746 |
| Verity Healthnet National | Verity | $3,746 |
| Gilsbar PPO | Gilsbar | $3,871 |
| American Lifecare (PHCS) | Amer Lifecare | $3,996 |
| Coventry Company | Coventry | $4,245 |
| Galaxy Health Network | Galaxy | $4,245 |
| USA Managed Care | USA Managed Care | $4,245 |
| Health Payors Organization | Health Payors | $4,495 |
| Miscellaneous Insurance | Miscellaneous Insurance | $4,995 |
| Vantage Health Plan | Vantage Health Plan Commercial | $8,990 |
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