CT abdomen and pelvis with contrast at Ascension Seton Hays (Ascension Seton). CPT 74177.
What Ascension Seton Hays (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,626cash price (self-pay)
$9,575list price
$229–$4,309range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1136_champva Austin 20180301 | $229 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $253 |
| BCBS Chip/Chip Perinate | 3597_blue Cross Chip/Star Kids (Hay) Inpatie | $253 |
| BCBS Star | 3696_chirp Blue Cross Star (Hay) Inpatient 20240901 | $253 |
| Dell Chip/Chip Perinate | 3605_dell Chip/Star Kids (Chi,Dcn) Inpatient | $253 |
| Dell Chip/Chip Perinate | 3608_dell Chip/Star Kids (Hay) Inpatient 202 | $253 |
| Dell Star | 3704_chirp Dell Star (Chi,Dcn) Inpatient 20240901 | $253 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $294 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $294 |
| BCBS Star | 4222_chirp Blue Cross Star (Hay) Outpatient 20241201 | $294 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $294 |
| Dell Star | 3707_chirp Dell Star (Hay) Inpatient 20240901 | $294 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $294 |
| Dell Star | 4233_chirp Dell Star (Hay) Outpatient 20241201 | $294 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $294 |
| Champva | 1135_champva Rest_tx 20180301 | $301 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $318 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $318 |
| BCBS Chip/Chip Perinate | 4171_blue Cross Chip (Hay) Outpatient 202412 | $318 |
| BCBS Chip/Chip Perinate | 4171_blue Cross Chip/Star Kids (Hay) Outpati | $318 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $318 |
| BCBS Star Kids | 5009_blue Cross Star Kids (Hay) Outpatient 20241201 | $318 |
| Dell Chip/Chip Perinate | 4182_dell Chip/Star Kids (Hay) Outpatient 20 | $318 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $318 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $405 |
| Aetna Sha Aisd | 4335_aetna Sha Aisd 20250101 | $1,345 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $1,401 |
| BCBS Hpn | 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202 | $1,401 |
| Aetna Aco HMO | 4489_aetna Aco HMO 20250801 | $1,523 |
| Aetna Multi-Tier Whole Health Sha | 4490_aetna Multi-Tier Whole Health | $1,523 |
Inpatient
—cash price (self-pay)
—list price
$339–$623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mc Wellmed | 4656_medicare Advantage Aarp Wellmed Inpatient (Aus, | $339 |
| Sendero Chap | 4651_sendero Chap Inpatient 20251001 | $343 |
| Addr Cancer Together | 4681_addr Cancer Together Inpatient 20251001 | $346 |
| Aetna Mcr Replacement | 4659_medicare Advantage Aetna Inpatient 202510 | $346 |
| Ascension Complete Medicare Replacement | 4682_medicare Advantage Asce | $346 |
| Covid Hrsa | 4693_covid Hrsa Unin Q80 Inpatient 20251001 | $346 |
| Cshcn Cidc | 4694_cshcn Cidc Ip (Adult) 20251001 | $346 |
| Devoted Health Mcr Replacement | 4684_medicare Advantage Devoted Healt | $346 |
| Humana Mcr Replacement | 4661_medicare Advantage Humana Inpatient (Aus | $346 |
| Medicare Oon | 4666_medicare Advantage Inpatient Oon 20251001 | $346 |
| Medicare Replacement | 4665_medicare Advantage Inpatient 100% 20251001 | $346 |
| Research Study | 4650_research Study Ip 20251001 | $346 |
| Smarthealth | 4680_smarthealth Ip 20251001 | $346 |
| Superior Allwell | 4686_medicare Advantage Superior Allwell Inpatient | $346 |
| Tricare | 4696_tricare Inpatient 20251001 | $346 |
| Utmb | 4677_utmb Prisons (Hay) Ip 20251001 | $346 |
| Wellcare Med Advantage | 4691_medicare Advantage Wellcare Inpatient 20 | $346 |
| Welmed Medicare | 4669_medicare Advantage Welmed Inpatient (Aus,Nw,Sw, | $346 |
| UHC Mcr Replacement | 4687_medicare Advantage United Healthcare Inpati | $353 |
| Connected Senior Care | 4660_medicare Advantage Connected Senior Care | $356 |
| Pphp Mcr Advantage | 4668_medicare Advantage Pphp Inpatient 20251001 | $363 |
| TX Independence Hp | 4671_tx Independence Hp Ip 20251001 | $363 |
| Occunet | 4674_occunet Ip 20251001 | $485 |
| Sendero Idealcare | 4675_sendero Idealcare Ip 20251001 | $606 |
| Superior Ambetter | 4652_superior Ambetter Inpatient 20251001 | $623 |
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All common services at Ascension Seton Hays (Ascension Seton)