CT abdomen and pelvis with contrast at Coryell Health. CPT 74177.
What Coryell Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$184cash price (self-pay)
$2,039list price
$236–$3,771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $276 |
| Humana | Tricare | $729 |
| Humana | Medicare Advantage | $729 |
| MultiPlan | Texas Medicaid | $729 |
| Scott and White | Medicare Advantage | $729 |
| Superior | Medicaid | $729 |
| TriWest | Commercial | $729 |
| FirstCare | Commercial | $1,268 |
| Blue Cross Blue Shield | Blue Advantage HMO | $1,570 |
| Blue Cross Blue Shield | HMO | $1,631 |
| Blue Cross Blue Shield | PPO | $1,631 |
| Aetna | Commercial | $1,733 |
| Coventry | Commercial | $1,733 |
| HealthRisk Resource Group | Commercial | $1,733 |
| Three Rivers | Commercial | $1,733 |
| United Healthcare | Commercial | $2,039 |
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