CT abdomen and pelvis with contrast at South Austin Medical Center. CPT 74177.
What South Austin Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$15,623cash price (self-pay)
$15,623list price
$270–$15,623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $324 |
| United | NarrowNetworkHIX | $563 |
| Superior Health Plan | CHIP | $781 |
| Superior Health Plan | CHPFC | $781 |
| Superior Health Plan | STAR | $781 |
| Superior Health Plan | STARPLUS | $781 |
| United | AllPayerAppendix | $828 |
| Superior Health Plan | AmbetterEPO | $2,656 |
| Superior Health Plan | AmbetterHMO | $2,656 |
| Superior Health Plan | ValueHMO | $2,656 |
| United | OptionsPPO | $3,890 |
| Humana | HMO | $4,340 |
| Humana | PPO | $4,340 |
| Cigna Lifesource | COMM | $4,531 |
| IMO Med - Select Network | WC | $4,687 |
| BCBS | Traditional | $4,984 |
| Texas Healthcare Foundation HEB | COMM | $5,781 |
| Texas Healthcare Foundation HEB | WC | $5,781 |
| Texas Workforce Commission | WCOMP | $6,093 |
| United | GlobalBenefitPlan | $7,030 |
| Emerging Therapy Solutions | MGMCR | $7,655 |
| Comanche County | LOCALGOV | $7,812 |
| National ChoiceCare | WC | $7,812 |
| HealthSmart Preferred Care | Accel | $8,593 |
| Independent Medical Systems | COMM | $8,593 |
| Physicians Cooperative of Texas | WC | $8,593 |
| Prime Health | WC | $9,374 |
| Emerging Therapy Solutions | COMM | $9,842 |
| Coastal Comp Health Networks | WORKERSCOMP | $10,155 |
| National Health Care | COMM | $10,155 |
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