CT abdomen and pelvis with contrast at Lewisgale Hospital-alleghany. CPT 74177.
What Lewisgale Hospital-alleghany publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$11,341cash price (self-pay)
$11,341list price
$437–$10,207range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Anthem | HIX | $1,180 |
| Anthem | HMO | $1,312 |
| Anthem | PPO | $1,312 |
| Lifeworks | MCR | $2,155 |
| Universal Healthcare Group | MCR | $2,495 |
| Aetna | SharedSavings | $2,807 |
| Virginia Health Network | ULTRA | $3,969 |
| United | OptionsPPO | $4,310 |
| United | GlobalBenefitPlan | $5,103 |
| Aetna | Broad | $6,124 |
| Aetna | Broad-POC | $6,124 |
| Greenvbrier Sporting Club | COMM | $6,805 |
| Virginia Health Network | COMM | $8,052 |
| Virginia Health Network | WC | $8,052 |
| CorVel | WorkersComp | $8,166 |
| CSX Hotels | Product | $9,073 |
| OccuNet Workers Comp | WorkersComp | $9,073 |
| Health Payors Organization | COMM | $9,640 |
| 4Most | COMM | $10,207 |
| Alleghany Highland Community | COMM | $10,207 |
| American Postal Workers Union | COMM | $10,207 |
| C&O Employees Hospital Assn | COMM | $10,207 |
| Community Care Network | COMM | $10,207 |
| Multiplan | PHCS | $10,207 |
| One Health Plan | POS | $10,207 |
| One Health Plan | PPO | $10,207 |
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