CT abdomen and pelvis with contrast at Covenant Children's Hospital. CPT 74177.
What Covenant Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$460cash price (self-pay)
$9,794list price
$932–$2,393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Par Traditional | $932 |
| Scott And White | Individual Bsw Premier Exchange | $1,296 |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercia | $1,568 |
| Bcbs | Ppo | $1,806 |
| Bcbs | Blue Essentials Hmo | $1,875 |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $1,875 |
| Scott And White | Group Bsw Plus All Commercial Plans | $2,393 |
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