CT abdomen and pelvis with contrast at Rio Grande Regional Hospital. CPT 74177.
What Rio Grande Regional Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$27,437cash price (self-pay)
$30,727list price
$309–$26,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Driscoll Children's Health Plan | MCD | $321 |
| United | MGMCD | $324 |
| Molina Healthcare | CHIP | $343 |
| Molina Healthcare | STAR | $343 |
| Aetna Better Health | MGMCD | $344 |
| United | AllPayerAppendix | $828 |
| BCBS | BlueAdvantage | $1,428 |
| BCBS | BlueEssentials | $1,753 |
| BCBS | BlueEssentialsAccess | $1,753 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $1,791 |
| BCBS | PPO | $1,825 |
| Aetna | NewBusiness | $1,905 |
| Aetna | CommercialBaseNetwork | $2,005 |
| Aetna | Meritain | $2,005 |
| Superior Health Plan | CHIP | $2,151 |
| Superior Health Plan | CHPFC | $2,151 |
| Superior Health Plan | STAR | $2,151 |
| Superior Health Plan | STARKids | $2,151 |
| Superior Health Plan | STARPLUS | $2,151 |
| Aetna | OON | $2,359 |
| Aetna | ASA | $2,599 |
| United | OptionsPPO | $5,408 |
| Texas Workforce Commission | WORKERSCOMP | $7,374 |
| Humana Valley Market | HMO | $7,728 |
| Humana Valley Market | PPO | $7,728 |
| Averde Health | COMM | $10,140 |
| HealthSmart Preferred Care | ACCEL | $13,213 |
| HealthSmart Preferred Care | SOUTHTEXASISDRATES | $13,213 |
| BCBS | Traditional | $13,827 |
| United | GlobalBenefitPlan | $13,827 |
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