CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lake Charles Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $758
Cash Discount Price: $2,904
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lake Charles Memorial Hospital is $758. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,904. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.13x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.

Cash / Self-Pay

$2,904

Average discount available for prompt cash payment at this facility.

Insurance Median

$758

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $2,904 (815%)

Insurance Median: $758 (213%)

Cash: $2,904 (815% of Medicare)

Ins. Median: $758 (213% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$335 - $1,186	94%
Blue Cross Blue Shield	$335	94%
Champus_Va	$335	94%
Cigna	$335 - $3,630	94%
Medicare (plans)	$335	94%
Tricare	$335	94%
Veterans_Administration	$335	94%
Veterans_Choice-Triwest	$335	94%
Humana	$342 - $1,172	96%
Blue_Cross_Blue_Shield_La	$515	144%
Coushatta_Tribe_Dept_Of_Health	$603	169%
Medicaid / KanCare	$758 - $834	213%
Vantage_Commercial	$770	216%
United_Healthcare	$1,709	479%
Meritain	$2,178	611%
Verity	$2,323	652%
Ppo_Plus_	$2,904	815%
Phcs	$3,388	951%
United_Healthcare_Behavorial_Health	$3,388	951%
Lwcc	$3,703	1039%
First_Health	$3,872	1086%
Workers_Compensation	$4,356	1222%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,904.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lake Charles Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.