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CT abdomen and pelvis with contrast at Houston Methodist Clear Lake Hospital. CPT 74177.

What Houston Methodist Clear Lake Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$2,362cash price (self-pay)
$4,724list price
$350–$2,772range insurers pay
Insurance planNegotiated rate
Bcbs | Medicare Managed Care - Hmo$350
Aetna | Medicare Managed Care - Hmo/Ppo$356
Unitedhealthcare | Medicare Managed Care - Hmo$357
Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo$361
Molina Healthcare | Advantage Medicare Managed Care Plan$368
Community Health Choice | D-Snp Medicare Managed Care - Hmo$375
Procare Advantage | Medicare Managed Care - Hmo$386
Community Health Choice | Silver & Gold Exchange$571
Optum Health | Transplant Medicare Managed Care Plan$683
Molina Healthcare | Exchange$701
Aetna | New Business Discount Other Commercial Plan$846
Aetna | Hmo/Pos/Ppo$872
Bcbs | Blue Advantage Exchange$1,042
Bcbs | All Commercial Plans$2,772
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All common services at Houston Methodist Clear Lake Hospital