CT abdomen and pelvis with contrast at Refugio County Memorial Hospital. CPT 74177.
What Refugio County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 22, 2026.
Outpatient / ER
$3,160cash price (self-pay)
$3,950list price
$940–$3,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Adv HMO | BCBS Blue Adv HMO | $940 |
| BCBS Blue/PPO/Trad-All Other Plans | BCBS Blue/PPO/Trad-All Other Plan | $1,069 |
| UHC Mcr Adv | UHC Mcr Adv | $1,580 |
| Humana Mcr Adv-All Plans | Humana Mcr Adv-All Plans | $1,596 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $3,160 |
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