CT abdomen and pelvis with contrast at Memorial Hermann Imaging Center (Texas Medical Center). CPT 74177.
What Memorial Hermann Imaging Center (Texas Medical Center) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,196cash price (self-pay)
$9,987list price
$350–$666range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $350 |
| Community Health | Medicare Managed Care Plan | $386 |
| Procare Advantage | Medicare Managed Care Plan | $403 |
| Community Health | Premier/Select Exchange | $526 |
| Aetna | Exchange | $543 |
| Community Health | Ultra Exchange | $561 |
| 90 Degrees | All Commercial Plans | $666 |
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All common services at Memorial Hermann Imaging Center (Texas Medical Center)