CT abdomen and pelvis with contrast at Lewisgale Hospital-pulaski. CPT 74177.
What Lewisgale Hospital-pulaski publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$16,588cash price (self-pay)
$16,588list price
$295–$14,929range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HIX | $798 |
| United | AllPayerAppendix | $828 |
| Anthem | HMO | $886 |
| Anthem | PPO | $886 |
| Aetna | SharedSavings | $2,807 |
| Lifeworks | MCR | $3,152 |
| Universal Healthcare Group | MCR | $3,649 |
| United | OptionsPPO | $5,540 |
| Virginia Health Network | ULTRA | $5,806 |
| Aetna | Broad | $7,465 |
| Aetna | Broad-POC | $7,465 |
| United | GlobalBenefitPlan | $7,465 |
| Greenvbrier Sporting Club | COMM | $9,953 |
| Multiplan | PHCS | $11,059 |
| Virginia Health Network | COMM | $11,777 |
| Virginia Health Network | WC | $11,777 |
| CorVel | WorkersComp | $11,943 |
| Richfield Nursing Center | COMM | $12,441 |
| Richfield Retirement Community | COMM | $12,441 |
| Community Care Network | COMM | $13,270 |
| Graham-White Manufacturing | COMM | $13,270 |
| OccuNet Workers Comp | WorkersComp | $13,270 |
| One Health Plan | POS | $13,270 |
| One Health Plan | PPO | $13,270 |
| Patients Choice | COMM | $14,597 |
| 4Most | COMM | $14,929 |
| American Postal Workers Union | COMM | $14,929 |
| Phcs | Comm | $14,929 |
| Star Transportation | COMM | $14,929 |
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