CT abdomen and pelvis with contrast at Physicians Surgical Hospitals. CPT 74177.
What Physicians Surgical Hospitals publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$4,426cash price (self-pay)
$8,851list price
$312–$7,523range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Care Commercial [1371] | Firstcare HMO [137103] | $2,744 |
| Umr [2035] | Umr Oon Potter Co [203506] | $3,452 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $3,452 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $3,452 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $3,452 |
| Aetna Medicaid Replacement [3510] | Aetna Better Health [351001] | $3,452 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $3,452 |
| Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me | $3,452 |
| Caprock Health Plans [1200] | Caprock Health Plan [120004] | $3,452 |
| Curative [7085] | Curative [708500] | $3,452 |
| Cigna Medicaid Replacement [3945] | Cigna Healthspring Medicaid Replac | $3,452 |
| United Healthcare [2060] | United Healthcare Core Exclusive [206022] | $3,788 |
| Group Pension Admin [1450] | Gpa Imagine Health [145009] | $4,426 |
| American Healthcare [1055] | American Healthcare [105500] | $4,426 |
| Sana Benefits [5005] | Sana Benefits [500500] | $4,426 |
| Texas Rehab [1965] | Ssa [196500] | $5,045 |
| Nreca [1735] | Nreca [173500] | $5,426 |
| United Healthcare [2060] | United Healthcare Student Svc [206012] | $5,426 |
| United Healthcare [2060] | UHC Surest Bind [206032] | $5,426 |
| Maxor Insurance [1610] | Maxor Insurance [161000] | $5,753 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $6,196 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $6,196 |
| Rh Administrators [1885] | Rh Administrators [188500] | $6,196 |
| Phcs [1780] | Freedom Life [178009] | $6,196 |
| Phcs [1780] | Phcs Multiplan [178000] | $6,196 |
| Assurant Health [1105] | Assurant Health [110501] | $6,196 |
| Federated Mutual [1365] | Federated Mutual [136500] | $6,196 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $6,196 |
| Cherokee Insurance [1245] | Cherokee Insurance [124500] | $6,196 |
| Healthpartners [1500] | Healthpartners [150000] | $6,426 |
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