CT abdomen and pelvis with contrast at Baylor Scott & White Medical Center Sunnyvale. CPT 74177.
What Baylor Scott & White Medical Center Sunnyvale publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,394cash price (self-pay)
$5,657list price
$350–$5,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Adv HMO | $350 |
| BCBS | Bav | $2,474 |
| BCBS | Blue Advantage HMO | $2,474 |
| BCBS | Blue Health | $3,504 |
| BCBS | Hmh | $3,504 |
| BCBS | Hpn | $3,504 |
| BCBS | Premier HMO | $3,504 |
| BCBS | City of Dallas PPO | $4,707 |
| BCBS | Blue Choice | $5,230 |
| BCBS | PPO | $5,230 |
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All common services at Baylor Scott & White Medical Center Sunnyvale