CT abdomen and pelvis with contrast at Methodist Mansfield Medical Center. CPT 74177.
What Methodist Mansfield Medical Center publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$2,601cash price (self-pay)
$8,670list price
$296–$8,670range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Mmmc | $351 |
| New Century Hospice [2003] | Mhs Hb Hospice Mmmc | $351 |
| Community Hospice Of Texas [2005] | Mhs Hb Hospice Mmmc | $351 |
| Faith Hospice [2008] | Mhs Hb Hospice Mmmc | $351 |
| Generic Hospice [2011] | Mhs Hb Hospice Mmmc | $351 |
| Heart To Heart Hospice [2012] | Mhs Hb Hospice Mmmc | $351 |
| Hospice Plus [2013] | Mhs Hb Hospice Mmmc | $351 |
| Lions Hospice [2015] | Mhs Hb Hospice Mmmc | $351 |
| Odyssey Hospice [2018] | Mhs Hb Hospice Mmmc | $351 |
| Vista Care Hospice [2023] | Mhs Hb Hospice Mmmc | $351 |
| Vitas Hospice [2024] | Mhs Hb Hospice Mmmc | $351 |
| Vna Hospice [2025] | Mhs Hb Hospice Mmmc | $351 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $351 |
| Globalhealth [1003] | Mhs Hb Global Health Mmmc | $369 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Mmmc | $372 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Mmmc | $376 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Mmmc | $456 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Mmmc | $491 |
| Friday Health Plan [2061] | Mhs Hb Friday Health Mmmc | $500 |
| Molina [3017] | Mhs Hb Molina Marketplace Mmmc | $509 |
| Kempton Group Administrators, Tower Extrusions [3061] | Mhs Hb Tower E | $562 |
| Aetna [3000] | Mhs Hb Aetna Exchange Mmmc | $569 |
| Aetna [3000] | Mhs Hb Aetna Cvs Mmmc | $569 |
| Allied National [2031] | Mhs Hb 90 Degree Mmmc | $579 |
| Entrust/90 Degree [2058] | Mhs Hb 90 Degree Mmmc | $579 |
| 90 Degree Benefit [3057] | Mhs Hb 90 Degree Mmmc | $579 |
| Ambetter Superior [3051] | Mhs Hb Ambetter Superior Mmmc | $600 |
| Cigna [3004] | Mhs Hb Custom Ink Mmmc | $649 |
| Web Tpa [3049] | Mhs Hb Custom Ink Mmmc | $649 |
| Evry Health [1013] | Mhs Hb Evry Mmmc | $702 |
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