CT abdomen and pelvis with contrast at Lourdes Counseling Center. CPT 74177.
What Lourdes Counseling Center publishes for this service, straight from its standard-charges file, last updated July 10, 2026.
Outpatient / ER
$2,005cash price (self-pay)
$5,013list price
$395–$3,883range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triton Healthcare Partners | PPO | $395 |
| KFHP of WA Options, Inc | HMO | $720 |
| Molina Healthcare of Washington | Medicaid | $988 |
| WELLPOINT WASHINGTON, INC. | Medicaid | $988 |
| Community Health Plan Of Washington | PPO | $988 |
| COORDINATED CARE OF WASHINGTON INC | Medicaid | $998 |
| Aetna | PPO | $1,185 |
| Humana Inc. | HMO | $1,283 |
| United Healthcare Insurance Company | HMO | $1,330 |
| Unitedhealthcare Of Washington Inc | HMO | $1,330 |
| Unitedhealthcare Of Washington Inc | PPO | $1,330 |
| Group Administrators, Ltd. | PPO | $1,362 |
| Molina Healthcare of Washington | HMO | $1,408 |
| United Healthcare Insurance Company | PPO | $1,849 |
| Lifewise Health Plan of WA | PPO | $1,903 |
| Premera Blue Cross | PPO | $2,360 |
| Cigna Health and Life Insurance Company | POS | $3,578 |
| Providence Health Plan-ICL 8708 | PPO | $3,578 |
| United Healthcare Insurance Company | EPO | $3,698 |
| Asuris Northwest Health | PPO | $3,728 |
| Aetna | POS | $3,760 |
| Umr | PPO | $3,883 |
| United Healthcare Insurance Company | POS | $3,883 |
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