CT abdomen and pelvis with contrast at Methodist Richardson Medical Center. CPT 74177.
What Methodist Richardson 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 |
|---|---|
| United Healthcare Medicaid Managed Care [5015] | Mhs Hb United Medicai | $296 |
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Mrmc | $350 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $350 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | Mhs Hb Unin | $350 |
| Aetna Medicare Managed Care [7000] | Mhs Hb Aetna Golden Mrmc | $350 |
| Globalhealth [1003] | Mhs Hb Global Health Mrmc | $368 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Mrmc | $371 |
| Wellpoint Medicare Managed Care [7001] | Mhs Hb Managed Medicare 106% | $371 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Mrmc | $375 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Mrmc | $456 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Mrmc | $491 |
| Friday Health Plan [2061] | Mhs Hb Friday Health Mrmc | $500 |
| Molina [3017] | Mhs Hb Molina Marketplace Mrmc | $508 |
| Wellpoint Marketplace Exchange [3071] | Mhs Hb Wellpoint Texas Essenti | $543 |
| Aetna [3000] | Mhs Hb Aetna Exchange Mrmc | $568 |
| Aetna [3000] | Mhs Hb Aetna Cvs Mrmc | $568 |
| Allied National [2031] | Mhs Hb 90 Degree Mrmc | $578 |
| Entrust/90 Degree [2058] | Mhs Hb 90 Degree Mrmc | $578 |
| 90 Degree Benefit [3057] | Mhs Hb 90 Degree Mrmc | $578 |
| Ambetter Superior [3051] | Mhs Hb Ambetter Superior Mrmc | $599 |
| Imperial Insurance Companies [3073] | Mhs Hb Imperial Managed Care Mrm | $631 |
| Cigna [3004] | Mhs Hb Custom Ink Mrmc | $648 |
| Web Tpa [3049] | Mhs Hb Custom Ink Mrmc | $648 |
| Evry Health [1013] | Mhs Hb Evry Mrmc | $701 |
| Sana Benefits [3069] | Mhs Hb Sana Mrmc | $701 |
| Velocity [3070] | Mhs Hb Velocity Mrmc | $701 |
| Medical Cost Containment Professionals [3059] | Mhs Hb Medical Cost Co | $876 |
| Health Plans Inc [5017] | Mhs Hb Employers Health Network Mrmc | $876 |
| Healthscope Benefits [2052] | Mhs Hb Dart Member Care Mrmc | $946 |
| Dart Member Care [3039] | Mhs Hb Dart Member Care Mrmc | $946 |
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