CT abdomen and pelvis with contrast at CHRISTUS Southeast Texas St. Elizabeth. CPT 74177.
What CHRISTUS Southeast Texas St. Elizabeth publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
$757cash price (self-pay)
$2,293list price
$179–$2,310range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MM | $358 |
| Allwell | Superior Health MM | $358 |
| Arcadian Health Plan | MM | $358 |
| Blue Cross Blue Shield of Texas | MM | $358 |
| Christus Health | Med Adv MM | $358 |
| Community Health Choice | Dual MM | $358 |
| Coventry | First Health MM | $358 |
| Humana | Gold Choice MM | $358 |
| Amerigroup | MM | $386 |
| Devoted Health Plan | MM | $386 |
| American Health Medicare | Advantage MM | $393 |
| Imperial Health Plan | MM | $393 |
| Community Health Choice | Chip KM | $464 |
| Amerigroup | Chip KM | $487 |
| Amerigroup | Star KM | $487 |
| Amerigroup | Star Kids KM | $487 |
| Amerigroup | Star Plus KM | $487 |
| Community Health Choice | Star KM | $492 |
| Christus Health | HIX | $501 |
| ADV Cardiovas Specialist | MM | $715 |
| Aetna | New Business | $847 |
| Cigna | New Business | $858 |
| Aetna | EPO | $940 |
| Aetna | HMO | $940 |
| Aetna | POS | $940 |
| Aetna | PPO | $940 |
| Healthcare Highways | PPO | $988 |
| Cigna | PPO | $1,098 |
| Humana | Choicecare | $1,187 |
| First Health | PPO | $1,490 |
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All common services at CHRISTUS Southeast Texas St. Elizabeth