CT abdomen and pelvis with contrast at Legent Hospital Northwest Houston, LLC. CPT 74177.
What Legent Hospital Northwest Houston, LLC publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$1,635cash price (self-pay)
$3,270list price
$246–$881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Default | $246 |
| UHC Group Medicare Advantage | Medicare Advantage | $292 |
| Tricare West | Default | $315 |
| Aetna Medicare Advantage | Medicare Advantage | $343 |
| Blue Cross Blue Shield of TX Med Adv 66006 | Medicare Advantage | $343 |
| Humana Advantage Care Plans Med Advantage | Medicare Advantage | $343 |
| Medicare A TX J4 TrailBlazer | Default | $343 |
| Blue Cross Blue Shield of TX | Default | $603 |
| United Healthcare | Default | $621 |
| Cigna | Default | $881 |
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All common services at Legent Hospital Northwest Houston, LLC