CT abdomen and pelvis with contrast at Citizens Medical Center. CPT 74177.
What Citizens Medical Center publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$2,268cash price (self-pay)
$3,240list price
$1,327–$2,430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Fee-For-Service (LA) | $1,327 |
| AmeriHealth Caritas | Medicaid MCO (LA) | $1,327 |
| Healthy Blue | Medicaid MCO (LA) | $1,327 |
| Louisiana Health Care Connections | Medicaid MCO (LA) | $1,327 |
| United Health Care | Medicaid MCO (LA) | $1,327 |
| Aetna | Medicaid MCO (LA) | $1,327 |
| Blue Cross Blue Shield | Commercial - All Plans | $2,008 |
| Cigna | Commercial - All Plans | $2,045 |
| Zelis (formerly PPO Plus) | Commercial - All Plans | $2,430 |
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