CT abdomen and pelvis with contrast at Lakewood Health System. CPT 74177.
What Lakewood Health System publishes for this service, straight from its standard-charges file, last updated September 11, 2026.
Outpatient / ER
$138cash price (self-pay)
$3,087list price
$56.10–$2,933range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Mhps | Medica Mhps | $441 |
| BCBS Mn Mhcp | BCBS Mn Mhcp | $474 |
| BCBS Mn Mcr Adv | BCBS Mn Mcr Adv | $627 |
| UHC Va Ccn | UHC Va Ccn | $627 |
| Medica Msho/Mcr Adv | Medica Msho/Mcr Adv | $629 |
| UHC Mcr Adv | UHC Mcr Adv | $630 |
| Ucare Msho/Special Needs | Ucare Msho/Special Needs | $632 |
| Humana Mcr Adv-All Plans | Humana Mcr Adv-All Plans | $633 |
| Ucare Mcr Adv | Ucare Mcr Adv | $645 |
| UHC Medicaid | UHC Medicaid | $704 |
| Ucare Individual/Family - All Other Plans | Ucare Individual/Family - | $740 |
| BCBS Mn Blue Plus - All Other Plans | BCBS Mn Blue Plus - All Other Pl | $799 |
| UHC Commercial - All Other Plans | UHC Commercial - All Other Plans | $1,433 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $1,462 |
| Preferred One HMO | Preferred One HMO | $1,549 |
| Preferred One PPO - All Other Plans | Preferred One PPO - All Other Pl | $1,553 |
| Health Partners - All Plans | Health Partners - All Plans | $2,817 |
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