CT abdomen and pelvis with contrast at Lafollette Medical Center. CPT 74177.
What Lafollette Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,540cash price (self-pay)
$9,408list price
$98.85–$52,930range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN Medicaid Non-Par | TN Medicaid Non-Par | $98.85 |
| United Healthcare | UHC Community Plan | $98.85 |
| Amerigroup | Amerigroup Community Care | $196 |
| BCBS TN | BlueCare BH | $205 |
| BlueCare | BCBS TN CoverKids | $209 |
| BlueCare | BCBS TN TennCare Select | $222 |
| BlueCare | BCBS TN BlueCare | $236 |
| Aetna | Aetna Better Health MCD KY | $297 |
| Medicaid KY | Medicaid KY | $297 |
| UHC Ky Mcd | UHC Ky Mcd | $297 |
| Wellcare | Wellcare KY MCD | $297 |
| NODE Tricare | NODE Tricare | $309 |
| Veterans Eval Services | Veterans Eval Services | $320 |
| NODE ChampVA | NODE ChampVA | $325 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $334 |
| NODE BlueCare Plus TN MCR ADV | NODE BlueCare Plus TN MCR ADV | $334 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $334 |
| NODE Medicare Non Par | NODE Medicare Non Par | $334 |
| NODE Medicare Traditional | NODE Medicare Traditional | $334 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $339 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $340 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $340 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $344 |
| NODE BlueAdvantage MCR ADV | NODE BlueAdvantage MCR ADV | $344 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $344 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $350 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $367 |
| BCBS TN | BCBS TN Net S | $421 |
| Cigna | Cigna ALL | $469 |
| BCBS TN | BCBS TN Net P | $526 |
Inpatient
$3,105cash price (self-pay)
$9,408list price
$1,637–$9,408range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,637 |
| Multiplan Complementary | Multiplan Complementary | $7,150 |
| United Healthcare | UHC APA | $9,408 |
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