CT abdomen and pelvis with contrast at University Medical Center Surgical Hospital. CPT 74177.
What University Medical Center Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$261cash price (self-pay)
$4,722list price
$248–$3,894range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna CVS | Commercial | $253 |
| Healthnet | Tricare | $288 |
| Medicaid | Medicaid | $312 |
| Amerigroup TX | Medicaid | $312 |
| Molina TX | Medicaid | $312 |
| Superior TX | Medicaid | $325 |
| Medicare | Medicare | $351 |
| AETNA | Medicare Advantage | $351 |
| Amerigroup TX | Medicare Advantage | $351 |
| Cigna | QHP | $351 |
| El Paso Health Dual | Medicare Advantage | $351 |
| Molina | QHP | $351 |
| WellCare | Medicare Advantage | $351 |
| WellMed | Medicare Advantage | $351 |
| Humana Choice Care | Commercial | $641 |
| Aetna | QHP | $897 |
| Cigna | Commercial | $909 |
| United Healthcare Options_Non-Options | Commercial | $978 |
| BCBS HMO | Commercial | $1,168 |
| BCBS PPO & Traditional | Commercial | $1,520 |
| El Paso Health | Medicaid | $2,597 |
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All common services at University Medical Center Surgical Hospital