CT abdomen and pelvis with contrast at Hca Houston Mainland. CPT 74177.
What Hca Houston Mainland publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$23,377cash price (self-pay)
$23,377list price
$306–$21,039range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $324 |
| United | NarrowNetworkIndivExchange | $699 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| Aetna | COMMHMO | $1,071 |
| Aetna | COMMPOS | $1,071 |
| Aetna | ASAHMO | $1,361 |
| Aetna | ASAPOS | $1,361 |
| Aetna | ASAPPO | $1,361 |
| Superior Health Plan | CHIP | $1,403 |
| Superior Health Plan | CHPFC | $1,403 |
| Superior Health Plan | STAR | $1,403 |
| Superior Health Plan | STARKids | $1,403 |
| Superior Health Plan | STARPLUS | $1,403 |
| Cigna | CSN | $1,635 |
| Cigna | OpenAccessPlus | $1,771 |
| Cigna | PPO | $2,106 |
| United | OptionsPPO | $4,722 |
| IPA Management Services | COMM | $5,844 |
| Humana | HMO | $7,745 |
| Humana | PPO | $7,745 |
| BCBS | Traditional | $8,182 |
| Christus (USFHP) | TRICARE | $9,351 |
| HealthSmart Preferred Care | ACCEL | $10,052 |
| Fidelis SecureCare of TX | MGMCR | $10,520 |
| United | GlobalAppendix | $10,520 |
| Coventry National First Health | COMM | $12,109 |
| Physicians Cooperative of Texas | WC | $12,857 |
| Rockport Workers Comp | COMM | $12,857 |
| Independent Medical System | COMM | $14,026 |
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