CT abdomen and pelvis with contrast at Shriners Children's Texas. CPT 74177.
What Shriners Children's Texas publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$2,942cash price (self-pay)
$2,942list price
$206–$733range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centene Arkansas Total Care | Managed Medicaid | $206 |
| Centene Sunflower State Health Plan | Mgd Medicaid | $252 |
| Soonercare | Managed Medicaid | $254 |
| Cigna | Commercial | $306 |
| United Healthcare | Nat | $382 |
| Blue Cross Blue Shield of TX | Blue Advantage | $401 |
| Blue Cross Blue Shield of TX | HMO | $424 |
| Aetna National | Commercial | $426 |
| Blue Cross Blue Shield of TX | PPO | $470 |
| Blue Cross Blue Shield of TX | Traditional | $470 |
| Sana Benefits | Commercial | $491 |
| HealthChoice of Oklahoma | Commercial | $714 |
| Blue Cross Blue Shield of TX | Blue Options.Prec. | $733 |
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