CT abdomen and pelvis with contrast at Lake Regional Health System. CPT 74177.
What Lake Regional Health System publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$1,657cash price (self-pay)
$5,523list price
$320–$3,800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC_Community_Plan_MCD | UHCMCD | $320 |
| Home_State_Health_Plan_MCD | HMST | $350 |
| Mdcr_Advn_Fee_for_Srvc | MEDFEE_1 | $374 |
| Med_Fee_Part_B_Only | MEDFEEB_1 | $374 |
| Medicare_Advantage_HMO | MEDHMO_1 | $374 |
| Medicare_WPS | MED_1 | $374 |
| Med_Allwell | MEDALLWEL_1 | $387 |
| Wlcare_Hlth_Plns_Inc | MEDWLCAR_1 | $387 |
| Healthy_Blue | HEALTHBLUE | $423 |
| Essence_Healthcare | MEDESSNC_1 | $479 |
| IBEW_Local_701_General_Welfare | IBEW_1 | $479 |
| Mercy_Benefit_Administrators | MERCY_1 | $479 |
| AMBetter | AMBETTER_1 | $505 |
| Anthem_Exchange_Gold | ANTHGOLD_1 | $2,325 |
| Anthem_Exchange_Silver | ANTHSLVR_1 | $2,325 |
| Anthembrze_Exchange_Bronze | ANTHBRZE_1 | $2,325 |
| Blue_Cross_HMO | BLUCHO_1 | $2,325 |
| Blue_Cross_Other | BCOTH_1 | $2,531 |
| Blue_Cross_PPO | BCSTLPHP_1 | $2,531 |
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