CT abdomen and pelvis with contrast at Palacios Community Medical Center. CPT 74177.
What Palacios Community Medical Center publishes for this service, straight from its standard-charges file, last updated February 1, 2026.
Outpatient / ER
$1,870cash price (self-pay)
$1,870list price
$817–$1,931range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Sheild | BAV | $817 |
| Blue Cross Blue Shield | PAR | $960 |
| Blue Cross Blue Shield | PPO | $960 |
| Aetna Health Inc. | Medicare Advantage | $991 |
| Molina | Medicare Advantage | $991 |
| Aetna Health Inc. | Commercial | $1,309 |
| Blue Cross Blue Shield | Managed Medicaid | $1,931 |
| Community Health Choice | Managed Medicaid | $1,931 |
| Molina | Managed Medicaid | $1,931 |
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