CT abdomen and pelvis with contrast at Round Rock Medical Center. CPT 74177.
What Round Rock Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$14,805cash price (self-pay)
$14,805list price
$270–$13,325range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $270 |
| Amerigroup | MCD | $270 |
| United | MGMCD | $324 |
| Aetna Better Health | MCD | $393 |
| United | NarrowNetworkHIX | $563 |
| Superior Health Plan | CHIP | $740 |
| Superior Health Plan | CHPFC | $740 |
| Superior Health Plan | STAR | $740 |
| Superior Health Plan | STARPLUS | $740 |
| United | AllPayerAppendix | $828 |
| United | SmallGroup | $828 |
| Superior Health Plan | AmbetterEPO | $2,517 |
| Superior Health Plan | AmbetterHMO | $2,517 |
| Superior Health Plan | ValueHMO | $2,517 |
| United | OptionsPPO | $3,686 |
| Humana | HMO | $4,113 |
| Humana | PPO | $4,113 |
| IMO Med - Select Network | WC | $4,442 |
| BCBS | Traditional | $4,723 |
| Texas Healthcare Foundation HEB | COMM | $5,478 |
| Texas Healthcare Foundation HEB | WC | $5,478 |
| Texas Workforce Commission | WCOMP | $5,774 |
| United | GlobalBenefitPlan | $6,662 |
| Comanche County | LOCALGOV | $7,403 |
| National ChoiceCare | WC | $7,403 |
| HealthSmart Preferred Care | Accel | $8,143 |
| Independent Medical Systems | COMM | $8,143 |
| Physicians Cooperative of Texas | WC | $8,143 |
| Prime Health | WC | $8,883 |
| Coastal Comp Health Networks | WORKERSCOMP | $9,623 |
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