CT abdomen and pelvis with contrast at Medical City Dallas Hospital. CPT 74177.
What Medical City Dallas Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$10,325cash price (self-pay)
$10,325list price
$307–$10,325range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | NarrowNetworkIndivExchange | $341 |
| United | SmallGroup | $341 |
| Superior Health Plan | CHIP | $723 |
| Superior Health Plan | MCDSTAR | $723 |
| Superior Health Plan | STARHealth | $723 |
| Superior Health Plan | STARKids | $723 |
| Superior Health Plan | STARPLUS | $723 |
| United | AllPayerAppendix | $828 |
| Optum Health | MCD | $1,136 |
| Cigna | IFP | $1,394 |
| Cigna | QHP | $1,445 |
| Religious Order of Jehovah Witness | LOGOV | $2,065 |
| Unicare | CHIP | $2,478 |
| Healthcare Highways | CityofPlano | $3,490 |
| Prominence Health Plan | HIX | $4,130 |
| BCBS | Traditional | $4,275 |
| City of McKinney | COMM | $4,646 |
| Fidelis SecureCare | MGMCR | $4,646 |
| Emerging Therapy Solutions | MCR | $5,059 |
| National ChoiceCare | WCOMP | $5,162 |
| Aetna | ASA | $5,214 |
| Aetna | WCOMP | $5,679 |
| Cigna Lifesource | COMM | $5,679 |
| PC Texas Partners | WCOMP | $5,679 |
| Physicians Coop of TX | MGMCR | $5,679 |
| Rockport Health Group | WORKERSCOMP | $5,679 |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $5,782 |
| Aetna Coventry First Health | EXCLUSIVE | $5,916 |
| Aetna Coventry First Health | NONEXCLUSIVE | $5,916 |
| Averde Health, Inc | PPO | $5,988 |
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