CT abdomen and pelvis with contrast at Baylor Scott & White Continuing Care Hospital. CPT 74177.
What Baylor Scott & White Continuing Care Hospital publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$3,807cash price (self-pay)
$6,345list price
$312–$5,710range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $312 |
| Mark Cuban | Commercial | $953 |
| United Healthcare | Commercial | $2,181 |
| MidCoast | Commercial | $3,490 |
| Blue Cross Blue Shield | Blue Advantage | $3,553 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $3,553 |
| Independent Medical System | Commercial PPO | $3,807 |
| Cigna | Local Plus/Market Solutions | $4,061 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,124 |
| Curative | Commercial | $4,124 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,315 |
| First Health | PPO | $4,441 |
| HealthSmart | Accel Network | $4,441 |
| Humana | Commercial PPO | $4,441 |
| Imagine Health | Commercial | $4,568 |
| Aetna | Commercial | $4,759 |
| Cigna | HMO/PPO | $4,759 |
| HealthSmart | Preferred Network | $4,759 |
| University of Mary Hardin-Baylor | Commercial | $4,759 |
| Three Rivers | Three Rivers Provider Network | $5,710 |
Inpatient
$3,807cash price (self-pay)
$6,345list price
$3,490–$5,710range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MidCoast | Commercial | $3,490 |
| Independent Medical System | Commercial PPO | $3,807 |
| Curative | Commercial | $4,124 |
| First Health | PPO | $4,441 |
| Three Rivers | Three Rivers Provider Network | $5,710 |
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All common services at Baylor Scott & White Continuing Care Hospital