CT abdomen and pelvis with contrast at Dallas Medical Center. CPT 74177.
What Dallas Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$348cash price (self-pay)
$7,479list price
$312–$7,479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Superior Health Plan CHIP Medicaid | $312 |
| Superior Health Plan | Superior Health Star Kids MEDICAID | $312 |
| Superior Health Plan | Superior Health STAR Medicaid | $312 |
| Careworks Fka (Rockport Community Network) | Careworks Fka - Rockport | $331 |
| Coastal Comp | Workers Compensation | $338 |
| Aetna | Aetna Medicare Advantage | $349 |
| BCBS | BCBS Blue Essentials Medicare-HMO | $349 |
| BCBS | BCBS Medicare Advantage | $349 |
| Care N Care Insurance Company | Care NCare Insurance Company Medicare | $349 |
| Cigna Healthspring | Cigna Healthspring Medicare Advantage | $349 |
| Cigna Healthspring | Cigna HealthSpring MMP (Dual-Eligible) | $349 |
| Humana | Choice Care Humana Medicare Advantage | $349 |
| Humana | Humana Military Tricare | $349 |
| Superior Health Plan | Superior Health Plan Medicare Advantage/MMP | $349 |
| Cigna Healthspring | Cigna Healthspring Medicare Advantage PPO | $359 |
| Molina | Molina Medicare Advantage/MMP | $366 |
| Provider Partners Health Plan | Provider Partners Health Plan | $366 |
| Imperial Insurance Company | Imperial Medicare Advantage | $370 |
| American Health Plan | American Health Plan | $384 |
| Aetna | Aetna Commercial | $401 |
| Aetna | Aetna Workers Compensation | $401 |
| DOL Office Worker Compensation | DOL Office Worker Compensation | $436 |
| HI Card | HI Card Medicare Advantage | $436 |
| Superior Health Plan | Superior Health Plan Commercial Exchange-EPO/HM | $453 |
| American Correction Healthcare | American Correction Healthcare Medica | $481 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $488 |
| Corporate Remedies | Corporate Remedies | $523 |
| Molina | Molina Exchange | $541 |
| Naphcare | Naphcare Medicare | $541 |
| Aetna | Aetna Exchange | $575 |
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