CT abdomen and pelvis with contrast at Sweeny Community Hospital. CPT 74177.
What Sweeny Community Hospital publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$1,757cash price (self-pay)
$2,928list price
$500–$2,928range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $500 |
| Humana PPO - All Other Plans | Humana PPO - All Other Plans | $500 |
| Aetna - All Other Plans | Aetna - All Other Plans | $515 |
| Humana HMO | Humana HMO | $618 |
| Cigna - All Plans | Cigna - All Plans | $750 |
| Bcbstx Blue Adv | Bcbstx Blue Adv | $878 |
| Bcbstx Blue Essentials | Bcbstx Blue Essentials | $1,025 |
| Bcbstx Traditional/PPO - All Other Plans | Bcbstx Traditional/PPO - Al | $1,464 |
| Evercare Mcaid | Evercare Mcaid | $1,464 |
| UHC Mcr Adv | UHC Mcr Adv | $1,581 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $1,698 |
| Community Hlth Choice Him - All Other Plans | Community Hlth Choice Hi | $1,698 |
| Molina Mcr Adv - All Other Plans | Molina Mcr Adv - All Other Plans | $1,698 |
| Superior Hp Mcr Adv-All Other Plans | Superior Hp Mcr Adv-All Other Pl | $1,698 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,698 |
| Coventry Mcr Adv | Coventry Mcr Adv | $1,698 |
| Wellcare Mcare - All Plans | Wellcare Mcare - All Plans | $1,698 |
| Care Improvement Mcr - All Plans | Care Improvement Mcr - All Plans | $1,715 |
| Choicecare Mcr Adv - All Plans | Choicecare Mcr Adv - All Plans | $1,715 |
| Molina Mcaid | Molina Mcaid | $1,950 |
| Superior Hp Mcaid | Superior Hp Mcaid | $1,950 |
| Community Hlth Choice Star | Community Hlth Choice Star | $1,950 |
| TX Chlidrens Hp Mcaid - All Plans | TX Chlidrens Hp Mcaid - All Plans | $1,950 |
| TX True Choice Mcaid - All Plans | TX True Choice Mcaid - All Plans | $1,950 |
| Beech Street - All Plans | Beech Street - All Plans | $2,196 |
| Community Care Network - All Plans | Community Care Network - All Plan | $2,343 |
| UHC Compass Payer | UHC Compass Payer | $2,343 |
| Galaxy Health Network - All Plans | Galaxy Health Network - All Plans | $2,635 |
| Multiplan - All Plans | Multiplan - All Plans | $2,635 |
| Evercare Mcr Adv - All Other Plans | Evercare Mcr Adv - All Other Plan | $2,840 |
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