CT abdomen and pelvis with contrast at Lake Chelan Health. CPT 74177.
What Lake Chelan Health publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$988cash price (self-pay)
$3,720list price
$84.84–$3,652range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Medicare | $1,065 |
| UHC Mcr Adv | UHC Mcr Adv | $1,065 |
| Coordinated Care Mcaid | Coordinated Care Mcaid | $1,179 |
| Amerigroup Op Only - All Plans | Amerigroup Op Only - All Plans | $1,179 |
| UHC Mcaid | UHC Mcaid | $1,179 |
| Premera First - All Plans | Premera First - All Plans | $1,453 |
| Molina - All Plans | Molina - All Plans | $1,761 |
| First Choice - All Plans | First Choice - All Plans | $1,829 |
| Coordinated Care Comm - All Other Plans | Coordinated Care Comm - All | $1,881 |
| Aetna Elect/Choice/PPO - All Plans | Aetna Elect/Choice/PPO - All Plan | $2,118 |
| Corvel - All Plans | Corvel - All Plans | $2,236 |
| Multiplan - All Plans | Multiplan - All Plans | $3,311 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $3,460 |
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