CT abdomen and pelvis with contrast at Memorial Hermann Southwest Hospital. CPT 74177.
What Memorial Hermann Southwest Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,033cash price (self-pay)
$9,479list 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 | Prem/Select Exchange | $526 |
| Aetna | Exchange | $543 |
| Community Health | Ultra Exchange | $561 |
| 90 Degrees | All Commercial Plans | $666 |
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