CT abdomen and pelvis with contrast at Lafayette Surgical Specialty Hospital. CPT 74177.
What Lafayette Surgical Specialty Hospital publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$5,486cash price (self-pay)
$5,492list price
$314–$1,115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $314 |
| Community Care/Healthy Blue | Medicare | $314 |
| Humana | Medicare Advantage | $314 |
| Peoples Health Network | Medicare Advantage | $314 |
| United Healthcare | Medicare Advantage | $314 |
| Vantage Health Plan | Medicare Advantage | $314 |
| WellCare of LA | Medicare Advantage | $314 |
| Blue Cross Blue Shield of LA | HMO | $404 |
| Blue Cross Blue Shield of LA | PPO | $404 |
| Diagnostic Management Affiliates | Commercial | $450 |
| Aetna | Commercial | $571 |
| HealthScope | Commercial | $582 |
| Vantage Health Plan | Exchange Plans | $582 |
| Vantage Health Plan | Commercial | $613 |
| Cigna | Commercial | $1,115 |
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All common services at Lafayette Surgical Specialty Hospital