CT abdomen and pelvis with contrast at Baylor Scott & White Pavilion - Temple. CPT 74177.
What Baylor Scott & White Pavilion - Temple 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
$3,490–$4,441range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $3,490 |
| Curative | Commercial | $4,124 |
| First Health | PPO | $4,441 |
Inpatient
$3,807cash price (self-pay)
$6,345list price
$3,490–$4,441range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $3,490 |
| Curative | Commercial | $4,124 |
| First Health | PPO | $4,441 |
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All common services at Baylor Scott & White Pavilion - Temple