CT abdomen and pelvis with contrast at Hospital Service District #2 Of Lasalle Parish. CPT 74177.
What Hospital Service District #2 Of Lasalle Parish publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$597cash price (self-pay)
$995list price
$310–$636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Medicare Advantage | $310 |
| Blue Advantage of LA | Medicare Advantage | $310 |
| Healthy Blue Dual Advantage | Medicare Advantage | $310 |
| Humana | Medicare Advantage | $310 |
| Magnolia Health Plan MCR Adv | Medicare Advantage | $310 |
| Medicare A LA JH | Default | $310 |
| Peoples Health Network DOS lt 01012024 | Medicare Advantage | $310 |
| Tricare East Region DOS GT 01012025 | Default | $310 |
| TriWest | Default | $310 |
| UHC Community Plan Dual Complete | Default | $310 |
| UHC MedicareComplete | Medicare Advantage | $310 |
| VA Community Care Network VACCN Region 1-3 Optum | Federal | $310 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $310 |
| Aetna Better Health LA | Medicaid Replacement | $636 |
| AmeriHealth Caritas Louisiana MCD Rep | Medicaid Replacement | $636 |
| Healthy Blue Community Care of LA MCD | Medicaid Replacement | $636 |
| Humana Healthy Horizons MCD Rep | Medicaid Replacement | $636 |
| Louisiana Healthcare Connections MCD Rep | Medicaid Replacement | $636 |
| Medicaid Louisiana IP OP | Default | $636 |
| UHC Community Plan LA MCD Rep | Medicaid Replacement | $636 |
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All common services at Hospital Service District #2 Of Lasalle Parish