CT abdomen and pelvis with contrast at South Texas Spine & Surgical Hospital. CPT 74177.
What South Texas Spine & Surgical Hospital publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$11,257cash price (self-pay)
$11,257list price
$349–$1,029range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $349 |
| Blue Cross | Medicare Advantage | $349 |
| Humana ChoiceCare | Medicare Advantage | $349 |
| Superior AmBetter | Exchange | $349 |
| Superior AmBetter | Medicare Advantage | $349 |
| Devoted Health | Medicare Advantage | $356 |
| Coventry Healthcare | Commercial | $418 |
| ELAP Services | Commercial | $488 |
| Community First | HMO | $550 |
| Aetna | Commercial | $1,026 |
| Cigna | Commercial | $1,029 |
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All common services at South Texas Spine & Surgical Hospital