CT abdomen and pelvis with contrast at Permian Regional Medical Center. CPT 74177.
What Permian Regional Medical Center publishes for this service, straight from its standard-charges file, last updated December 3, 2025.
Outpatient / ER
$2,114cash price (self-pay)
$4,228list price
$223–$3,382range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Texas | Managed Medicaid | $223 |
| Molina Healthcare of Texas | CHIP | $223 |
| Blue Cross Blue Shield | Managed Medicaid | $239 |
| Aetna | Commercial | $327 |
| Humana | Medicare Advantage | $335 |
| Molina Healthcare of Texas | Medicare Advantage | $335 |
| Molina Healthcare of Texas | Marketplace | $335 |
| Molina Healthcare of Texas | Dual Medicare-Medicaid | $335 |
| Blue Cross Blue Shield | Medicare Advantage | $352 |
| Aetna | Medicare Advantage | $587 |
| Blue Cross Blue Shield | Commercial | $1,195 |
| Blue Cross Blue Shield | HMO | $1,256 |
| Blue Cross Blue Shield | PPO | $1,325 |
| United Healthcare | Commercial/Exchange | $2,072 |
| FirstCare | Managed Medicaid | $2,199 |
| Cigna | Commercial | $2,875 |
| Humana | Commercial | $3,171 |
| CapStar Health | Commercial | $3,382 |
Inpatient
$2,114cash price (self-pay)
$4,228list price
$2,748–$3,382range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Commercial | $2,748 |
| Blue Cross Blue Shield | HMO | $2,748 |
| Blue Cross Blue Shield | PPO | $2,748 |
| Cigna | Commercial | $2,875 |
| CapStar Health | Commercial | $3,382 |
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