CT abdomen and pelvis with contrast at Leonard J. Chabert Medical Center. CPT 74177.
What Leonard J. Chabert Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$389cash price (self-pay)
$827list price
$129–$886range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Military � Tricare - Behavioral Health | All Payor | $129 |
| Triwest Military - Tricare | All Payor | $136 |
| Healthy Blue (Healthy Louisiana) | All Payor | $220 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $220 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $220 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $220 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $227 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $227 |
| Magnolia Health Plan�Mississippi Managed Medicaid | All Payor | $285 |
| Molina Healthcare Of Mississippi�Managed Medicaid | All Payor | $285 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $328 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $328 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $328 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $328 |
| Ochsner Health Plan | All Payor | $328 |
| Optum Va Ccn | All Payor | $328 |
| Peoples Health Network � Medicare Advantage | All Payor | $328 |
| United Healthcare - Medicare Advantage | All Payor | $328 |
| Verity Commercial And First Choice Network | All Payor | $471 |
| Cigna Healthcare | All Payor | $586 |
| Aetna Health Inc. PPO/POS | All Payor | $600 |
| Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $620 |
| Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $620 |
| First Health Network | All Payor | $662 |
| Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $678 |
| Usa Managed Care Network | All Payor | $703 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $791 |
| Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $791 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $809 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $810 |
Inpatient
$389cash price (self-pay)
$827list price
—range insurers pay
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