CT abdomen and pelvis with contrast at Lubbock Heart & Surgical Hospital. CPT 74177.
What Lubbock Heart & Surgical Hospital publishes for this service, straight from its standard-charges file, last updated February 18, 2026.
Outpatient / ER
$4,395cash price (self-pay)
$4,395list price
$349–$1,745range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicare Advantage | $349 |
| Blue Cross Blue Shield of TX | Medicare Advantage | $349 |
| Humana ChoiceCare | Medicare Advantage | $349 |
| Imperial Insurance Company of TX | Medicare Adv. | $349 |
| Scott and White Health Plan | Commercial | $349 |
| Scott and White Health Plan | Medicare Advantage | $349 |
| Superior HealthPlan | Medicare Advantage | $349 |
| United Healthcare | Medicare Advantage | $349 |
| United Healthcare | Commercial | $360 |
| Entrust | Commercial | $593 |
| Blue Cross Blue Shield of TX | BAV QHP | $1,516 |
| Blue Cross Blue Shield of TX | HMO POS | $1,657 |
| Blue Cross Blue Shield of TX | PPO/Trad | $1,745 |
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