CT abdomen and pelvis with contrast at CHRISTUS Santa Rosa Hospital - San Marcos. CPT 74177.
What CHRISTUS Santa Rosa Hospital - San Marcos publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$253–$2,177range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Star KM | $253 |
| United Healthcare | Star Kids KM | $253 |
| Allwell | Superior Medicare Advantage | $346 |
| Christus Health | Med Adv MM | $346 |
| Humana | MM | $346 |
| Triwest | VA MM | $346 |
| United Healthcare | MM | $346 |
| Washington National | Supp MM | $346 |
| Wellcare | MM | $346 |
| Aetna | MM | $353 |
| Cigna | Healthspring Medicare Advantage MM | $356 |
| Provider Partners Health Plan | MM | $356 |
| Shared Health Insurance Company | MM | $363 |
| Amerigroup | MM | $374 |
| Devoted Health Plan | MM | $374 |
| Community First | Star Kids KM | $464 |
| Blue Cross Blue Shield Of Texas | Star KM | $474 |
| Blue Cross Blue Shield Of Texas | Star Kids KM | $474 |
| Christus Health | HIX | $485 |
| Amerigroup | Star KM | $487 |
| Texas Childrens Health Plan | Star Plus KM | $487 |
| Superior | Chip KM | $534 |
| Superior | Star KM | $534 |
| Superior | Star Kids KM | $534 |
| Sendero | HMO HIX | $592 |
| Community First Health Plan | HMO | $673 |
| Naphcare Inc. | RRMB | $692 |
| Humana | Choicecare | $713 |
| Healthcare Highways | PPO | $876 |
| United Healthcare | All Payer | $1,161 |
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All common services at CHRISTUS Santa Rosa Hospital - San Marcos