CT abdomen and pelvis with contrast at El Campo Memorial Hospital. CPT 74177.
What El Campo Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$1,870cash price (self-pay)
$1,870list price
$357–$605range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc. | Medicare Advantage | $357 |
| Molina | Medicare Advantage | $357 |
| TriWest | Medicare Advantage | $357 |
| United HealthCare | Medicare Advantage | $357 |
| Aetna Health Inc. | Commercial | $362 |
| Community Health Choice | Medicare Advantage | $375 |
| Amerigroup | Managed Medicaid | $462 |
| Aetna Health Inc. | Managed Medicaid | $462 |
| Community Health Choice | Managed Medicaid | $462 |
| Molina | Managed Medicaid | $462 |
| Texas Children's Health Plan | Managed Medicaid | $462 |
| United HealthCare | Managed Medicaid | $462 |
| United HealthCare | Commercial | $600 |
| Blue Cross Blue Sheild | BAV | $605 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.