CT abdomen and pelvis with contrast at University Health Lakewood Medical Center. CPT 74177.
What University Health Lakewood Medical Center publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$591cash price (self-pay)
$1,078list price
$270–$1,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Select Exchange | BCBS Blue Select Exchange | $270 |
| BCBS Blue Select Plus | BCBS Blue Select Plus | $335 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $348 |
| Home State Medicare Advantage | Home State Medicare Advantage | $348 |
| Humana Medicare Advantage | Humana Medicare Advantage | $348 |
| Medicare | Medicare | $348 |
| Oscar Exchange | Oscar Exchange | $348 |
| United Healthcare Medicare Advantage | United Healthcare Medicare Adva | $348 |
| BCBS Preferred Care Blue | BCBS Preferred Care Blue | $360 |
| Ambetter Exchange | Ambetter Exchange | $396 |
| Aetna HMO | Aetna HMO | $432 |
| Aetna PPO/Exchange | Aetna PPO/Exchange | $432 |
| Uh Discount Orange Card | Uh Discount Orange Card | $445 |
| Self-Pay | Self-Pay | $593 |
| BCBS Blue Metro Aca | BCBS Blue Metro Aca | $614 |
| BCBS Blue Care | BCBS Blue Care | $636 |
| UHC Medicaid | UHC Medicaid | $682 |
| Cigna Commercial | Cigna Commercial | $692 |
| Home State Medicaid | Home State Medicaid | $703 |
| Missouri Care Health Plan Medicaid Healthy Blue | Missouri Care Health | $725 |
| United Healthcare Exchange | United Healthcare Exchange | $776 |
| Multiplan | Multiplan | $787 |
| Self Pay Choice | Self Pay Choice | $862 |
| United Healthcare (HMO/PPO) | United Healthcare (HMO/PPO) | $969 |
| BCBS Freedom Network | BCBS Freedom Network | $1,078 |
| BCBS Freedom Network Select | BCBS Freedom Network Select | $1,078 |
Inpatient
$591cash price (self-pay)
$1,078list price
$443–$1,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Uh Discount Orange Card | Uh Discount Orange Card | $445 |
| Self-Pay | Self-Pay | $593 |
| Multiplan | Multiplan | $787 |
| Self Pay Choice | Self Pay Choice | $862 |
| BCBS Preferred Care | BCBS Preferred Care | $987 |
| BCBS Freedom Network | BCBS Freedom Network | $1,078 |
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All common services at University Health Lakewood Medical Center