CT abdomen and pelvis with contrast at Ascension Seton Medical Center Austin (Ascension Seton). CPT 74177.
What Ascension Seton Medical Center Austin (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$3,447cash 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 | 3592_blue Cross Chip/Star Kids (Aus) Inpatie | $253 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $253 |
| BCBS Star | 3691_chirp Blue Cross Star (Aus) Inpatient 20240901 | $253 |
| Dell Chip/Chip Perinate | 3603_dell Chip/Star Kids (Aus) Inpatient 202 | $253 |
| Dell Chip/Chip Perinate | 3605_dell Chip/Star Kids (Chi,Dcn) Inpatient | $253 |
| Dell Star | 3702_chirp Dell Star (Aus) Inpatient 20240901 | $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 | 4217_chirp Blue Cross Star (Aus) Outpatient 20241201 | $294 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $294 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $294 |
| Dell Star | 4228_chirp Dell Star (Aus) Outpatient 20241201 | $294 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $294 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $294 |
| Champva | 1135_champva Rest_tx 20180301 | $301 |
| BCBS Chip/Chip Perinate | 4166_blue Cross Chip (Aus) Outpatient 202412 | $318 |
| BCBS Chip/Chip Perinate | 4166_blue Cross Chip/Star Kids (Aus) Outpati | $318 |
| 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 Star Kids | 4999_blue Cross Star Kids (Aus) Outpatient 20241201 | $318 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $318 |
| Dell Chip/Chip Perinate | 4177_dell Chip/Star Kids (Aus) 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 |
| Uhcpcip | 4678_united Healthcare Pcip (Aus) 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 Medical Center Austin (Ascension Seton)