CT abdomen and pelvis with contrast at Hca Houston Rehabilitation Hospital Southeast. CPT 74177.
What Hca Houston Rehabilitation Hospital Southeast publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$32,618cash price (self-pay)
$32,618list price
$306–$29,356range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $324 |
| United | NarrowNetworkIndivExchange | $699 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| Aetna | ASAHMO | $1,361 |
| Aetna | ASAPOS | $1,361 |
| Aetna | ASAPPO | $1,361 |
| Cigna | CSN | $1,635 |
| Cigna | OpenAccessPlus | $1,771 |
| Superior Health Plan | CHIP | $1,957 |
| Superior Health Plan | CHPFC | $1,957 |
| Superior Health Plan | STAR | $1,957 |
| Superior Health Plan | STARKids | $1,957 |
| Superior Health Plan | STARPLUS | $1,957 |
| Cigna | PPO | $2,106 |
| United | OptionsPPO | $6,589 |
| Texas Workforce Commission | WCOMP | $7,828 |
| Humana | HMO | $10,806 |
| Humana | PPO | $10,806 |
| BCBS | Traditional | $11,416 |
| Christus (USFHP) | TRICARE | $13,047 |
| HealthSmart Preferred Care | ACCEL | $14,026 |
| Fidelis SecureCare of TX | MGMCR | $14,678 |
| United | GlobalAppendix | $14,678 |
| Coventry National First Health | COMM | $16,896 |
| Physicians Cooperative of Texas | WC | $17,940 |
| Rockport Workers Comp | COMM | $17,940 |
| Independent Medical System | COMM | $19,571 |
| National Healthcare Solutions | COMM | $19,571 |
| Prime Health Services | WORKERSCOMP | $19,571 |
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All common services at Hca Houston Rehabilitation Hospital Southeast