CT abdomen and pelvis with contrast at Methodist Hospital Landmark. CPT 74177.
What Methodist Hospital Landmark publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$14,859cash price (self-pay)
$14,859list price
$312–$12,630range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MCD | $312 |
| Community First Health Plans | CHIP | $312 |
| Community First Health Plans | CHIPPerinate | $312 |
| Community First Health Plans | MCDSTAR | $312 |
| Molina Healthcare | CHIP | $343 |
| Molina Healthcare | MCDSTAR | $343 |
| Molina Healthcare | STAR+PLUS | $343 |
| Molina Healthcare | STARKIDS | $343 |
| BCBS | MyBlueHealth | $615 |
| BCBS | BlueAdvantage | $756 |
| Aetna | NarrowNetwork | $778 |
| United | AllPayerAppendix | $828 |
| United | Charter | $828 |
| United | NexusACO | $828 |
| United | SmallGroup | $828 |
| BCBS | BlueEssentials | $867 |
| BCBS | BlueEssentialsAccess | $867 |
| Aetna | NewBusinessRates | $926 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $943 |
| Aetna | CommercialBaseNetwork | $944 |
| BCBS | PPO | $1,016 |
| Aetna | OON | $1,109 |
| United | OptionsPPO | $3,655 |
| Community First Health Plans | HMO | $4,012 |
| BCBS | Trad | $4,383 |
| United | GlobalBenefitPlan | $6,687 |
| Aetna | ASA | $7,207 |
| Multiplan | PHCSPrimaryNetwork | $11,144 |
| TriWest Health Alliance | TRICARE | $11,144 |
| Multiplan | ComplementaryNetwork | $12,630 |
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