CT abdomen and pelvis with contrast at Methodist Hospital for Surgery. CPT 74177.
What Methodist Hospital for Surgery publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$5,202cash price (self-pay)
$8,670list price
$343–$8,670range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Mah | $343 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $343 |
| Aetna Medicare Managed Care [7000] | Mhs Hb Aetna Golden Mah | $343 |
| BCBS Medicare Managed Care [7002] | Mhs Hb BCBS Medicare Advantage Mah | $343 |
| Generic Medicare Managed Care [7004] | Mhs Hb Managed Medicare Part A | $343 |
| Superior Medicare Managed Care [7008] | Mhs Hb Managed Medicare Part A | $343 |
| Texan Plus HMO Medicare Managed Care [7009] | Mhs Hb Managed Medicare | $343 |
| United Healthcare Medicare Managed Care [7010] | Mhs Hb UHC Medicare C | $343 |
| Champva [1000] | Mhs Hb Tricare Mah | $343 |
| Tricare [1001] | Mhs Hb Tricare Mah | $343 |
| Globalhealth [1003] | Mhs Hb Global Health Mah | $360 |
| Care N Care Medicare Managed Care [7003] | Mhs Hb Scott And White Medi | $360 |
| Molina Medicare Managed Care [7007] | Mhs Hb Molina Medicare Mah | $360 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Mah | $363 |
| Wellpoint Medicare Managed Care [7001] | Mhs Hb Managed Medicare 106% | $363 |
| BCBS Medicare Managed Care [7002] | Mhs Hb Managed Medicare 106% Mah | $363 |
| Humana Medicare Managed Care [7005] | Mhs Hb UHC Wellmed Mah | $363 |
| Humana Medicare Managed Care [7005] | Mhs Hb Humana Medicare Mah | $363 |
| Imperial Insurance Companies [2032] | Mhs Hb Imperial Mah | $367 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Mah | $367 |
| Imperial Insurance Companies [3045] | Mhs Hb Imperial Mah | $367 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Mah | $446 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Mah | $480 |
| Molina [3017] | Mhs Hb Molina Marketplace Mah | $497 |
| Friday Health Plan [2061] | Mhs Hb Friday Health Mah | $500 |
| Wellpoint Marketplace Exchange [3071] | Mhs Hb Wellpoint Texas Essenti | $531 |
| BCBS [3001] | Mhs Hb BCBS My Blue Health Mah | $561 |
| Allied National [2031] | Mhs Hb 90 Degree Mah | $566 |
| Entrust/90 Degree [2058] | Mhs Hb 90 Degree Mah | $566 |
| 90 Degree Benefit [3057] | Mhs Hb 90 Degree Mah | $566 |
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