CT abdomen and pelvis with contrast at Baylor Scott & White Medical Center - Frisco. CPT 74177.
What Baylor Scott & White Medical Center - Frisco publishes for this service, straight from its standard-charges file, last updated September 29, 2026.
Outpatient / ER
$3,730cash price (self-pay)
$6,216list price
$1,454–$4,662range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Imagine Healthplan | All Plans | $1,454 |
| Nebraska Furniture Mart | Emerald | $1,455 |
| Nebraska Furniture Mart | Onyx | $1,455 |
| Nebraska Furniture Mart | Pearl | $1,455 |
| Scott and White Health Plan | BSW Premier | $1,631 |
| Scott and White Health Plan | Premier (Rate 1) | $1,631 |
| Cigna | Local Plus | $1,683 |
| Cigna | Market Solutions | $1,683 |
| Midland Memorial | Employee Benefit Plan | $1,790 |
| University of Mary Hardin Baylor Employee Plan | All Plans | $1,845 |
| Scott and White Health Plan | BSW Plus | $1,918 |
| Scott and White Health Plan | BSW Premier (Rate 2) | $1,918 |
| Cigna | HMO | $1,980 |
| Cigna | PPO | $1,980 |
| Dallas Area Rapid Transit (DART) | Employees Benefit Plan | $2,046 |
| United Healthcare | NexusCharter | $2,077 |
| BCBSTX | Blue Advantage HMO BAV | $2,176 |
| United Healthcare | Commercial | $2,308 |
| EHN | Rental | $2,922 |
| BCBSTX | Blue Premier HMO | $3,108 |
| Bcbstx | Hpn | $3,108 |
| BCBSTX | My Blue Health | $3,108 |
| Aetna | Commercial | $3,419 |
| EHN | Network | $3,419 |
| Hunt Regional Healthcare | All Products | $3,730 |
| Curative | EPO | $4,040 |
| Curative | PPO | $4,040 |
| BCBSTX | PPO City of Dallas | $4,165 |
| Bcbstx | HMO | $4,351 |
| Healthsmart | Accel | $4,351 |
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All common services at Baylor Scott & White Medical Center - Frisco