CT abdomen and pelvis with contrast at Heart Hospital Of Austin At St Davids Round Rock. CPT 74177.
What Heart Hospital Of Austin At St Davids Round Rock publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$7,076cash price (self-pay)
$7,076list price
$270–$6,015range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $270 |
| Amerigroup | MCD | $270 |
| St David’s Hospice | MGMCD | $312 |
| United | MGMCD | $324 |
| BCBS | Chip | $328 |
| BCBS | Mcd | $328 |
| Molina Healthcare | CHIP | $343 |
| Molina Healthcare | MCDSTAR | $343 |
| Molina Healthcare | STAR+PLUS | $343 |
| Molina Healthcare | STARKIDS | $343 |
| Humana | MGMCD | $390 |
| Sendero | MCD | $390 |
| Aetna Better Health | MCD | $393 |
| United | NarrowNetworkHIX | $563 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| BCBS | MyBlueHealth | $871 |
| BCBS | BlueAdvantage | $1,062 |
| BCBS | BlueEssentials | $1,470 |
| BCBS | BlueEssentialsAccess | $1,470 |
| BCBS | Eposoa | $1,627 |
| Aetna | NarrowNetwork | $1,678 |
| BCBS | PPO | $1,783 |
| Humana | HMO | $1,966 |
| Humana | PPO | $1,966 |
| IMO Med - Select Network | WC | $2,123 |
| BCBS | Traditional | $2,257 |
| Aetna | COMM | $2,327 |
| Aetna | Meritain | $2,327 |
| Aetna | ASA | $2,711 |
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All common services at Heart Hospital Of Austin At St Davids Round Rock