CT abdomen and pelvis with contrast at Hca Houston West. CPT 74177.
What Hca Houston West publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$34,566cash price (self-pay)
$34,566list price
$306–$31,109range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $324 |
| United | NarrowNetworkIndivExchange | $699 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| Aetna | COMMHMO | $1,071 |
| Aetna | ASAHMO | $1,361 |
| Aetna | ASAPOS | $1,361 |
| Aetna | ASAPPO | $1,361 |
| Cigna | CSN | $1,635 |
| Cigna | OpenAccessPlus | $1,771 |
| Superior Health Plan | CHIP | $2,074 |
| Superior Health Plan | CHPFC | $2,074 |
| Superior Health Plan | STAR | $2,074 |
| Superior Health Plan | STARKids | $2,074 |
| Superior Health Plan | STARPLUS | $2,074 |
| Cigna | PPO | $2,106 |
| United | OptionsPPO | $5,807 |
| Texas Workforce Commission | WCOMP | $8,296 |
| Humana | HMO | $11,452 |
| Humana | PPO | $11,452 |
| BCBS | Traditional | $12,098 |
| Christus (USFHP) | TRICARE | $13,826 |
| HealthSmart Preferred Care | ACCEL | $14,863 |
| Fidelis SecureCare of TX | MGMCR | $15,555 |
| United | GlobalAppendix | $15,555 |
| Coventry National First Health | COMM | $17,905 |
| Physicians Cooperative of Texas | WC | $19,011 |
| Rockport Workers Comp | COMM | $19,011 |
| Independent Medical System | COMM | $20,740 |
| National Healthcare Solutions | COMM | $20,740 |
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