CT abdomen and pelvis with contrast at Baylor Scott & White Texas Spine and Joint Hospital. CPT 74177.
What Baylor Scott & White Texas Spine and Joint Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$347–$5,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health First | TPA | $347 |
| United HealthCare | MCR Advantage | $347 |
| BCBS | Medicare Adv HMO | $350 |
| United HealthCare | Charter | $579 |
| United HealthCare | Commercial | $579 |
| United HealthCare | Nexus | $579 |
| 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 |
Inpatient
$6,326cash price (self-pay)
$10,544list price
—range insurers pay
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All common services at Baylor Scott & White Texas Spine and Joint Hospital