CT abdomen and pelvis with contrast at Lake Surgical Hospital - Slidell. CPT 74177.
What Lake Surgical Hospital - Slidell publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$392cash price (self-pay)
$1,248list price
$190–$1,186range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Better Health | $190 |
| Amerihealth Caritas | Medicaid | $190 |
| Louisiana Healthcare Connection | Medicaid | $190 |
| United Healthcare | Community Plan | $190 |
| TriWest | All Plans | $310 |
| Blue Cross Blue Shield Of Louisiana | FMOLAS Employee Group | $317 |
| Blue Cross Blue Shield Of Louisiana | PB | $317 |
| Blue Cross Blue Shield Of Louisiana | SB | $317 |
| Aetna | Medicare Advantage | $327 |
| Blue Cross Blue Shield Of Louisiana | Medicare Advantage | $327 |
| Healthy Blue | Medicare Advantage DSNP | $327 |
| Humana | Gold | $327 |
| Humana | Medicare Advantage | $327 |
| Humana | Tricare Military | $327 |
| LHC (Allwell) | Medicare Advantage | $327 |
| Peoples Health | Employee | $327 |
| United Healthcare | Medicare Advantage | $327 |
| United Healthcare | VA CCN | $327 |
| Vantage Health Plan Inc. | Medicare Advantage | $327 |
| Wellcare Health Plan Inc | All Plans | $327 |
| Blue Cross Blue Shield Of Louisiana | HMO | $343 |
| Blue Cross Blue Shield Of Louisiana | PPO | $391 |
| Blue Cross Blue Shield Of Louisiana | Traditional | $391 |
| United Healthcare | Community Coffee Group | $444 |
| United Healthcare | HMO | $458 |
| United Healthcare | Exchange Compass | $474 |
| Humana | All Plans | $493 |
| Vantage Health Plan Inc. | All Plans | $556 |
| Aetna | All Plans | $654 |
| Cigna of LA | All Plans | $750 |
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