CT abdomen and pelvis with contrast at Texas Health Hospital Mansfield. CPT 74177.
What Texas Health Hospital Mansfield publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$10,563cash price (self-pay)
$10,563list price
$350–$1,432range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Managed Care Plan | $350 |
| Superior Healthplan | Ambetter Exchange | $701 |
| BCBS | PPO | $1,432 |
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