CT abdomen and pelvis with contrast at Matagorda Regional Medical Center. CPT 74177.
What Matagorda Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 23, 2026.
Outpatient / ER
$916cash price (self-pay)
$1,831list price
$354–$1,648range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Medicare | $354 |
| Aetna | Medicare Advantage | $354 |
| Humana | Medicare Advantage | $354 |
| Triwest | Medicare Advantage | $354 |
| United | Medicare Advantage | $354 |
| Wellcare | Medicare Advantage | $354 |
| UHC | Individual Exchange | $390 |
| AM Better | EPO/HMO | $425 |
| Alliance | Worker Comp | $496 |
| UHC | PPO | $550 |
| Cigna | Commercial | $600 |
| Coventry First Health | PPO | $650 |
| Humana | All PPO POS Plans | $683 |
| Corvel | Workers Comp | $708 |
| BCBS | Blue Essentials | $935 |
| Medicaid | Medicaid | $1,025 |
| Comm Care | Medicaid | $1,025 |
| Molina | Medicaid | $1,025 |
| Scott & White | Medicaid | $1,025 |
| Superior | Medicaid | $1,025 |
| TCStar | Medicaid | $1,025 |
| Wellpoint | Medicaid | $1,025 |
| UHC Comm Care | Medicaid | $1,025 |
| Aetna | PPO | $1,148 |
| BCBS | Blue Advantage | $1,183 |
| Galaxy Health | PPO | $1,282 |
| BCBS | Traditional | $1,317 |
| BCBS | PPO | $1,317 |
| Independent Medical System | Commercial | $1,556 |
| Multiplan PHCS | Commercial | $1,556 |
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