CT abdomen and pelvis with contrast at Lee's Summit Medical Center. CPT 74177.
What Lee's Summit Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$24,143cash price (self-pay)
$24,143list price
$207–$20,521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | KSMGMCD | $207 |
| HealthyBlue | MGMCD | $211 |
| Sunflower State Health Plan | MCD | $213 |
| Aetna Better Health | MCD | $215 |
| Amerigroup | MGMCD | $215 |
| Unicare | MGMCD | $215 |
| Aetna Coventry | FamilyHealthPlanMCD | $327 |
| Multiplan | WCOMPMissouri | $348 |
| CorVel Corporation | KSWC | $413 |
| Multiplan | WCOMPKansas | $424 |
| OHA Network | KansasWCOMP | $431 |
| Cigna | SureFit/LocalPlus | $454 |
| BCBS | Blue-Care(HMO) | $469 |
| BCBS | BlueAccess | $469 |
| BCBS | Preferred-CareBlue(PPO) | $469 |
| Aetna | IVLHIX | $474 |
| Aetna | KCCarePlus | $500 |
| Cigna | LocalKC | $526 |
| Cigna | Comm | $659 |
| Aetna | Local | $667 |
| Aetna | National | $811 |
| United | AllPayerAppendix | $828 |
| Anthem MissouriCare | MissouriCareMGMCD | $3,139 |
| Ambetter | Commercial-Exchange | $4,491 |
| Humana | ASO | $5,456 |
| Humana | EPO | $5,456 |
| Humana | HMO | $5,456 |
| BCBS | FreedomNetworkSelect | $6,518 |
| Coventry | WCOMP | $9,705 |
| BCBS | FreedomNetwork | $9,898 |
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