CT abdomen and pelvis with contrast at Memorial Hospital of Texas County. CPT 74177.
What Memorial Hospital of Texas County publishes for this service, straight from its standard-charges file, last updated September 9, 2026.
Outpatient / ER
$1,630cash price (self-pay)
$2,037list price
$443–$1,731range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $443 |
| BCBS Blue Adv PPO | BCBS Blue Adv PPO | $443 |
| BCBS Blue Pref PPO | BCBS Blue Pref PPO | $536 |
| Humana Mcr Adv | Humana Mcr Adv | $570 |
| Triwest-All Plans | Triwest-All Plans | $570 |
| UHC Mcr Advantage | UHC Mcr Advantage | $570 |
| Va Ccn-All Plans | Va Ccn-All Plans | $570 |
| Bsa-All Plans | Bsa-All Plans | $600 |
| BCBS Blue Choice PPO | BCBS Blue Choice PPO | $630 |
| BCBS Blue Trad-All Other Plans | BCBS Blue Trad-All Other Plans | $725 |
| Healthchoice-All Plans | Healthchoice-All Plans | $802 |
| Cigna-All Plans | Cigna-All Plans | $1,320 |
| Humana-All Other Plans | Humana-All Other Plans | $1,630 |
| Multiplan-All Plans | Multiplan-All Plans | $1,731 |
| Aetna-All Plans | Aetna-All Plans | $1,731 |
| Phcs-All Plans | Phcs-All Plans | $1,731 |
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