CT abdomen and pelvis with contrast at Baylor Scott & White Medical Center Uptown. CPT 74177.
What Baylor Scott & White Medical Center Uptown publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$3,394cash price (self-pay)
$5,657list price
$2,659–$8,427range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Whole Health A/1 | $2,659 |
| Aetna | Aetna Whole Health B/2 | $2,829 |
| Aetna | Aetna Whole Health C/3 | $2,942 |
| Aetna | Aetna Dfw | $3,111 |
| Blue Cross/Blue Shield | BCBS Bav | $3,512 |
| Blue Cross/Blue Shield | BCBS Premier HMO | $4,975 |
| Blue Cross/Blue Shield | BCBS Dfw | $6,102 |
| Blue Cross/Blue Shield | BCBS PPO-City Of Dallas | $6,682 |
| Blue Cross/Blue Shield | BCBS HMO Dfw | $7,054 |
| Blue Cross/Blue Shield | BCBS PPO Dfw | $7,425 |
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All common services at Baylor Scott & White Medical Center Uptown