CT abdomen and pelvis with contrast at North Austin Medical Center. CPT 74177.
What North Austin Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,749cash price (self-pay)
$10,514list price
$87.45–$9,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $324 |
| Superior Health Plan | CHIP | $526 |
| Superior Health Plan | CHPFC | $526 |
| Superior Health Plan | STAR | $526 |
| Superior Health Plan | STARPLUS | $526 |
| United | NarrowNetworkHIX | $563 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| Superior Health Plan | AmbetterEPO | $1,787 |
| Superior Health Plan | AmbetterHMO | $1,787 |
| Superior Health Plan | ValueHMO | $1,787 |
| Aetna | COMM | $2,327 |
| United | OptionsPPO | $2,618 |
| Aetna | ASA | $2,711 |
| Humana | HMO | $2,921 |
| Humana | PPO | $2,921 |
| BCBS | Traditional | $3,102 |
| IMO Med - Select Network | WC | $3,154 |
| Texas Healthcare Foundation HEB | COMM | $3,890 |
| Texas Healthcare Foundation HEB | WC | $3,890 |
| Texas Workforce Commission | WCOMP | $4,100 |
| Optum Health | COMM | $4,731 |
| United | GlobalBenefitPlan | $4,731 |
| Comanche County | LOCALGOV | $5,257 |
| National ChoiceCare | WC | $5,257 |
| HealthSmart Preferred Care | Accel | $5,783 |
| Independent Medical Systems | COMM | $5,783 |
| Physicians Cooperative of Texas | WC | $5,783 |
| Prime Health | WC | $6,308 |
| Coastal Comp Health Networks | WORKERSCOMP | $6,834 |
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