CT abdomen and pelvis with contrast at West Carroll Memorial Hospital. CPT 74177.
What West Carroll Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
—cash price (self-pay)
$1,271list price
$144–$1,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Umr | Umr | $144 |
| Aetna | Aetna | $254 |
| Arkansas Medicaid | Arkansas Medicaid | $254 |
| Omaha Insurance Company | Omaha Insurance Company | $254 |
| Pan-American Life Insurance Company | Pan-American Life Insurance Comp | $254 |
| United Of Omaha Life Insurance Company | United Of Omaha Life Insuranc | $254 |
| La-Dhh-Medicaid | La-Dhh-Medicaid | $327 |
| Blue Advantage | Blue Advantage | $394 |
| United Healthcare Insurance Company | United Healthcare Insurance Comp | $394 |
| Ambetter | Ambetter | $400 |
| Louisiana Blue Medicare Advantage | Louisiana Blue Medicare Advantage | $458 |
| Amerihealth Caritas Louisiana | Amerihealth Caritas Louisiana | $613 |
| Healthy Blue | Healthy Blue | $639 |
| Insurance Systems Inc | Insurance Systems Inc | $639 |
| Aetna Better Health Of Louisiana | Aetna Better Health Of Louisiana | $757 |
| Louisiana Healthcare Connections | Louisiana Healthcare Connections | $757 |
| Unitedhealthcare Of Louisiana Inc | Unitedhealthcare Of Louisiana Inc | $757 |
| Cigna Health And Life Insurance Company | Cigna Health And Life Insura | $1,017 |
| Blue Cross And Blue Shield Of Louisiana | Blue Cross And Blue Shield O | $1,271 |
| Humana Inc. | Humana Inc. | $1,271 |
| Novitas Solutions | Novitas Solutions | $1,271 |
| Seton Health Plan, Inc. | Seton Health Plan, Inc. | $1,271 |
| Umr Nreca | Umr Nreca | $1,271 |
| Unitedhealthcare | Unitedhealthcare | $1,271 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.