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CT abdomen and pelvis with contrast at Medical City Las Colinas Hospital. CPT 74177.

What Medical City Las Colinas Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$8,834cash price (self-pay)
$14,216list price
$312–$19,597range insurers pay
Insurance planNegotiated rate
United | NarrowNetworkIndivExchange$341
United | SmallGroup$341
Molina | CHIP$346
Molina | MCDSTAR$346
Molina | STAR+PLUS$346
Molina | STARKIDS$346
United | AllPayerAppendix$828
Aetna | COMM$856
Superior Health Plan | CHIP$995
Superior Health Plan | MCDSTAR$995
Superior Health Plan | STARHealth$995
Superior Health Plan | STARKids$995
Superior Health Plan | STARPLUS$995
Cigna | IFP$1,919
Cigna | QHP$1,990
United | OptionsPPO$2,459
Healthcare Highways | CityofPlano$4,805
Unicare | CHIP$4,975
BCBS | Traditional$5,885
City of McKinney | COMM$6,397
United | GlobalBenefitPlan$6,397
National ChoiceCare | WCOMP$7,108
Aetna | ASA$7,179
Aetna | WCOMP$7,819
PC Texas Partners | WCOMP$7,819
Physicians Coop of TX | MGMCR$7,819
Rockport Health Group | WORKERSCOMP$7,819
Aetna Coventry First Health | COMM$8,145
Averde Health, Inc | PPO$8,245
Coastal Comp Health Networks | WCOMP$9,951
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All common services at Medical City Las Colinas Hospital