CT abdomen and pelvis with contrast at Dallas Regional Medical Center. CPT 74177.
What Dallas Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$348cash price (self-pay)
$12,736list price
$312–$12,481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Of TX | BCBS Medicaid | $312 |
| Cigna Healthspring | Cigna Healthspring Medicaid | $312 |
| Parkland Medicaid | Parkland Community CHIP Medicaid | $312 |
| Superior Health Plan/Wellcare | Superior Health Plan CHIP Medicaid | $312 |
| Superior Health Plan/Wellcare | Superior Health Plan STAR KIDS Medicai | $312 |
| Superior Health Plan/Wellcare | Superior Health Plan STAR Medicaid | $312 |
| Molina | Molina CHIP Medicaid | $331 |
| Careworks FKA (ROCKPORT COMMUNITY NETWORK) WorkerComp | Careworks Wor | $331 |
| Aetna | Aetna Medicare Advantage | $349 |
| BCBS Of TX | BCBS Medicare HMO/PPO | $349 |
| Care N Care Insurance Company | Care N Care Insurance Company | $349 |
| Cigna Healthspring | Cigna Healthspring Medicare Advantage | $349 |
| Cigna Healthspring | Cigna Healthspring MMP Dual Eligible | $349 |
| Superior Health Plan/Wellcare | Superior Health Plan Medicare Advantag | $349 |
| Texas Bluebonnett Health Plan | Texas Bluebonnett Health Plan Medicare | $349 |
| Cigna Healthspring | Cigna Healthspring Medicare Advantage PPO | $359 |
| Molina | Molina Medicare Advantage MMP | $366 |
| MULTIPLAN | MULTIPLAN Medicare | $366 |
| Provider Partners Health Plan | Provider Partners Health Plan | $366 |
| Imperial Insurance Companies MCR | Imperial Insurance Companies Medica | $370 |
| American Health Plan | American Health Plan | $384 |
| Aetna | Aetna Commercial | $401 |
| Aetna | Coventry Workers Compensation | $401 |
| HI Card | HI Card Medicare Advantage | $436 |
| Superior Health Plan/Wellcare | Superior Commercial Exchange EPO HMO | $453 |
| American Correction Healthcare | American Correction Healthcare | $481 |
| Employee Direct Healthcare | Employer Direct Healthcare | $488 |
| Aetna | Aetna Exchange | $523 |
| Corporate Remedies Workers Comp | Corporate Remedies Workers Compensat | $523 |
| Naphcare -Prison | Naphcare Prison | $541 |
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