CT abdomen and pelvis with contrast at Medical City Plano Hospital. CPT 74177.
What Medical City Plano Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$17,230cash price (self-pay)
$17,230list price
$312–$17,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | NarrowNetworkIndivExchange | $341 |
| United | SmallGroup | $341 |
| Molina | CHIP | $346 |
| Molina | MCDSTAR | $346 |
| Molina | STAR+PLUS | $346 |
| Molina | STARKIDS | $346 |
| United | AllPayerAppendix | $828 |
| Superior Health Plan | CHIP | $1,206 |
| Superior Health Plan | MCDSTAR | $1,206 |
| Superior Health Plan | STARHealth | $1,206 |
| Superior Health Plan | STARKids | $1,206 |
| Superior Health Plan | STARPLUS | $1,206 |
| Cigna | IFP | $2,326 |
| Cigna | QHP | $2,412 |
| LifeCare Hospitals | MGMCD | $5,169 |
| LifeCare Hospitals | MGMCR | $5,169 |
| Healthcare Highways | CityofPlano | $5,824 |
| Prominence Health Plan | HIX | $6,892 |
| BCBS | Traditional | $7,133 |
| City of McKinney | COMM | $7,754 |
| Fidelis SecureCare | MGMCR | $7,754 |
| National ChoiceCare | WCOMP | $8,615 |
| Aetna | ASA | $8,701 |
| Aetna | WCOMP | $9,477 |
| PC Texas Partners | WCOMP | $9,477 |
| Physicians Coop of TX | MGMCR | $9,477 |
| Rockport Health Group | WORKERSCOMP | $9,477 |
| Averde Health, Inc | PPO | $9,994 |
| Aetna Coventry First Health | EXCLUSIVE | $10,131 |
| Aetna Coventry First Health | NONEXCLUSIVE | $10,131 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.