CT abdomen and pelvis with contrast at Lake District Hospital. CPT 74177.
What Lake District Hospital publishes for this service, straight from its standard-charges file, last updated June 19, 2026.
Outpatient / ER
$205cash price (self-pay)
$4,718list price
$82.66–$6,133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Careoregon Medicare Advan | Careoregon Medicare Advan | $1,221 |
| Careoregon Health Plan - All Other Plans | Careoregon Health Plan - Al | $1,612 |
| Careoregon Medicaid | Careoregon Medicaid | $2,281 |
| Cigna - All Plans | Cigna - All Plans | $2,311 |
| Moda Health Plan Inc - All Plans | Moda Health Plan Inc - All Plans | $2,346 |
| Great-West Healthcare - All Plans | Great-West Healthcare - All Plans | $2,356 |
| Pacificsource/Conet Inc | Pacificsource/Conet Inc | $2,356 |
| Aetna - All Plans | Aetna - All Plans | $2,356 |
| First Choice Health - All Plans | First Choice Health - All Plans | $2,356 |
| Pacificsource Health Plan - All Other Plans | Pacificsource Health Pla | $2,356 |
| Regence BCBS Of Oregon - All Plans | Regence BCBS Of Oregon - All Plan | $2,480 |
| Phc Medi-Cal-All Plans | Phc Medi-Cal-All Plans | $3,208 |
| Lifewise Health Plan Of Oregon - All Plans | Lifewise Health Plan Of O | $4,624 |
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