CT abdomen and pelvis with contrast at Live Oak Mental Health And Wellness. CPT 74177.
What Live Oak Mental Health And Wellness publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$12,632cash price (self-pay)
$12,632list price
$388–$12,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | HIX | $388 |
| Blue Choice | Mgmcd | $443 |
| United | MCD | $443 |
| Absolute Total Care | HIX | $625 |
| United | AllPayerAppendix | $828 |
| SC State Employees | COMM | $873 |
| BCBS | Pbhix | $1,339 |
| Blue Choice Health Plan | HIX | $1,339 |
| Aetna SC | AFA | $2,038 |
| Aetna SC | NB | $2,038 |
| Cigna | Ifp | $2,059 |
| Absolute Total Care | MCD | $2,274 |
| NHC Advantage | MGMCR | $2,400 |
| Pruitt Health | MCR | $2,400 |
| BCBS | BlueChoice | $2,449 |
| BCBS | PreferredBlue | $2,449 |
| Aetna SC | FI | $2,760 |
| Cigna | PPO | $4,497 |
| Aetna SC | SI | $4,750 |
| Medcost | NEWULTRA | $4,825 |
| United | OptionsPPO | $5,053 |
| Employers Health Network | COMM | $5,684 |
| United | GlobalBenefit | $5,684 |
| Medcost | NEWPAYER | $6,796 |
| Vocational Rehab | MCR | $6,821 |
| Medcost | STANDARD | $7,099 |
| First Health | PPO | $9,221 |
| Evernorth | BHCOMM | $10,106 |
| MultiPlan | COMM | $10,737 |
| Prime Health | COMM | $10,737 |
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