CT abdomen and pelvis with contrast at Lady of the Sea General Hospital. CPT 74177.
What Lady of the Sea General Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$542cash price (self-pay)
$542list price
$83.51–$2,307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Commercial Plans | $196 |
| Aetna | All Commercial Plans | $379 |
| Blue Cross Blue Shield of LA | HMO | $646 |
| Blue Cross Blue Shield of LA | PPO | $750 |
| Aetna | Medicare Replacement | $806 |
| Blue Cross Blue Shield of LA MCR Adv | Medicare Replacement | $806 |
| Cigna | Medicare Replacement | $806 |
| Humana | Medicare Replacement | $806 |
| Peoples Health | Medicare Replacement | $806 |
| Wellcare | Medicare Replacement | $806 |
| PPO Plus | Commercial | $1,151 |
| Aetna Better Health | Medicaid Replacement | $1,343 |
| Amerihealth Caritas of LA | Medicaid Replacement | $1,343 |
| Blue Cross | Medicaid Replacement | $1,343 |
| Healthy Blue | Medicaid Replacement | $1,343 |
| Humana | Commercial | $1,343 |
| Humana Healthy Horizon | Medicaid Replacement | $1,343 |
| Louisiana Healthcare Connections | Medicaid Replacement | $1,343 |
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