CT abdomen and pelvis with contrast at Longview Regional Medical Center. CPT 74177.
What Longview Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,201cash price (self-pay)
$12,227list price
$312–$10,393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE TX Childrens Health Plan STAR Medicaid TX | NODE TX Childrens Hea | $312 |
| NODE TX Children's Health Plan Medicaid TX | NODE TX Childrens Health | $312 |
| Medicaid | NODE TX Medicaid | $312 |
| Non-Par Medicaid TX | NODE TX Medicaid NON PAR | $312 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $312 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $312 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $328 |
| Superior | NODE Superior CHIP/ STAR HEALTH Medicaid TX | $328 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $328 |
| Superior | NODE Superior STAR PLUS Medicaid TX | $328 |
| NODE Wellpoint STAR KIDS Medicaid TX | NODE Wellpoint STAR KIDS Medica | $328 |
| NODE Wellpoint STAR PLUS Medicaid TX | NODE Wellpoint STAR PLUS Medica | $328 |
| BCBS TX | BCBS TX Blue ADV | $330 |
| NODE ChampVA | NODE ChampVA | $350 |
| NODE Tricare | NODE Tricare | $350 |
| BCBS TX | BCBS TX Blue Choice Options | $549 |
| BCBS TX | BCBS TX HMO | $549 |
| BCBS TX | BCBS TX PPO Trad | $591 |
| Gregg Co Detention Center | Gregg Co Detention Center | $614 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $655 |
| NODE Molina Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $688 |
| NODE TX Childrens Health Plan STAR KIDS Medicaid TX | NODE TX Children | $727 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $727 |
| Self Pay | Self Pay | $734 |
| Cigna | Cigna ALL | $830 |
| NODE Superior STAR Medicaid TX | NODE Superior STAR Medicaid TX | $1,153 |
| Amerigroup | NODE Wellpoint STAR Medicaid TX | $1,153 |
| United Healthcare | UHC APA | $1,316 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,773 |
| Texas Rehab Commission | Texas Rehab Commission | $3,057 |
Inpatient
$3,301cash price (self-pay)
$12,227list price
$1,100–$10,393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $1,100 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,773 |
| United Healthcare | UHC APA | $2,977 |
| Texas Rehab Commission | Texas Rehab Commission | $3,057 |
| Aetna | Aetna NBD | $3,913 |
| NX Health Network | NX Health Network | $3,913 |
| Aetna | Aetna First Health | $4,866 |
| Health Smart | Health Smart Accel | $6,725 |
| Multiplan | Multiplan Primary | $8,314 |
| Aetna | Aetna Auto | $8,326 |
| Health Smart | Health Smart PPO HPO | $8,559 |
| AIM Administrators | AIM Administrators | $9,170 |
| Multiplan | Multiplan Complementary | $10,393 |
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