CT abdomen and pelvis with contrast at Er 24/7 Northwest. CPT 74177.
What Er 24/7 Northwest publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$23,059cash price (self-pay)
$23,059list price
$306–$19,600range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Texas Health Network | MCD | $306 |
| Amerigroup | CHIP | $312 |
| Amerigroup | MCD | $312 |
| Christus MCD | MCD | $312 |
| United | MGMCD | $324 |
| Driscoll Children's Health Plan | MCD | $325 |
| Molina Healthcare | CHIP | $343 |
| Molina Healthcare | STAR | $343 |
| Molina Healthcare | STARKIDS | $343 |
| Molina Healthcare | STARPLUS | $343 |
| Aetna Better Health | MGMCD | $344 |
| Humanna | MCD | $390 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| Aetna | NarrowNetwork | $1,260 |
| BCBS | Bav | $1,272 |
| BCBS | MyBlueHealth | $1,272 |
| Aetna | CommercialBaseNetwork | $1,428 |
| Aetna | Meritain | $1,428 |
| BCBS | HMO | $1,493 |
| BCBS | Eposoa | $1,539 |
| BCBS | PPO | $1,581 |
| Aetna | OON | $1,680 |
| Aetna | ASA | $1,733 |
| Healthcare Highways | NarrowNetwork | $4,427 |
| Humana | HMO | $5,799 |
| Humana | PPO | $5,799 |
| Averde Health | COMM | $7,609 |
| BCBS | Traditional | $8,901 |
| HealthSmart Preferred Care | ACCEL | $9,915 |
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