CT abdomen and pelvis with contrast at Doctors Hospital of Laredo Providence Hospital. CPT 74177.
What Doctors Hospital of Laredo Providence Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$18,561cash price (self-pay)
$25,944list price
$462–$25,240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $462 |
| Driscoll | Medicaid | $476 |
| Molina | Medicaid | $485 |
| Driscoll_star_kids | Medicaid | $627 |
| United_healthcare_star_kids | Medicaid | $637 |
| Superior_star_kids | Medicaid | $863 |
| Superior_health_star | Medicaid | $891 |
| Driscoll_star | Medicaid | $918 |
| Molina_star | Medicaid | $936 |
| United_healthcare | Medicaid | $936 |
| Superior_health_star_plus | Medicaid | $937 |
| Driscoll_star_plus | Medicaid | $965 |
| Molina_star_plus | Medicaid | $984 |
| United_healthcare_star_plus | Medicaid | $984 |
| Blue_cross_blue_shield_of_tx | Qhp | $1,165 |
| Blue_cross_blue_shield_of_tx | HMO | $1,321 |
| Blue_cross_of_tx | Managed_care | $1,470 |
| Blue_cross_blue_shield_of_tx | PPO | $1,470 |
| Cigna | Medicaid | $2,055 |
| Cigna | Managed_care | $7,861 |
| United_healthcare | Managed_care | $11,156 |
| Aetna | Managed_care | $14,010 |
| Multiplan | Managed_care | $16,345 |
| Healthsmart | Managed_care | $16,864 |
| Geha | Managed_care | $24,128 |
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All common services at Doctors Hospital of Laredo Providence Hospital