CT abdomen and pelvis with contrast at Detar Healthcare System North. CPT 74177.
What Detar Healthcare System North publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,442cash price (self-pay)
$16,390list price
$312–$13,112range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Driscoll Health Plan CHIP/STAR KIDS Medicaid TX | NODE Driscoll H | $312 |
| NODE Jackson County Indigent Program Medicaid TX | NODE Jackson County | $312 |
| Scott & White | NODE Right Care-Scott White STAR Medicaid TX | $312 |
| Medicaid | NODE TX Medicaid | $312 |
| NODE TX Medicaid NON PAR | NODE TX Medicaid NON PAR | $312 |
| United Healthcare | NODE UHC CHIP Medicaid TX | $312 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $312 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $312 |
| BCBS TX | NODE BCBS STAR Medicaid TX | $318 |
| NODE BCBS STAR KIDS Medicaid TX | NODE BCBS STAR KIDS Medicaid TX | $318 |
| NODE Molina CHIP/STAR KIDS Medicaid TX | NODE Molina CHIP Medicaid TX | $328 |
| NODE Molina STAR Medicaid TX | NODE Molina STAR Medicaid TX | $328 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $328 |
| Superior | NODE Superior CHIP/ STAR HEALTH Medicaid TX | $328 |
| NODE Wellpoint CHIP/STAR KIDS Medicaid TX | NODE Wellpoint CHIP Medica | $328 |
| NODE Wellpoint STAR KIDS Medicaid TX | NODE Wellpoint STAR KIDS Medica | $328 |
| BCBS TX | BCBS TX Blue ADV | $330 |
| NODE Tricare | NODE Tricare | $333 |
| Department of Veterans Affairs | NODE ChampVA | $350 |
| NODE USFHP Tricare | NODE USFHP Tricare | $350 |
| NODE Driscoll Health Plan STAR KIDS Medicaid TX | NODE Driscoll Health | $590 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $619 |
| Superior | NODE Superior STAR PLUS Medicaid TX | $737 |
| NODE Driscoll Health Plan STAR Medicaid TX | NODE Driscoll Health Plan | $977 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $977 |
| NODE Superior STAR Medicaid TX | NODE Superior STAR Medicaid TX | $1,026 |
| BCBS TX | BCBS TX HMO PPO Trad | $1,268 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $3,426 |
| DARS | Corporate Remedies TX Rehab DARS | $3,770 |
| Cigna NBR | Cigna NBR | $3,901 |
Inpatient
$4,917cash price (self-pay)
$16,390list price
$1,475–$13,112range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $3,426 |
| DARS | Corporate Remedies TX Rehab DARS | $3,770 |
| TX Workforce Commission | TX Workforce Commission | $3,770 |
| Aetna | Aetna Dow Chemical Group | $5,409 |
| Aetna | Aetna NBD | $5,409 |
| Healthsmart | Healthsmart ACCEL | $9,015 |
| Healthsmart | Healthsmart PPO HPO | $11,473 |
| Multiplan | Multiplan Complementary | $13,112 |
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