CT abdomen and pelvis with contrast at Woodland Heights Medical Center. CPT 74177.
What Woodland Heights Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,895cash price (self-pay)
$16,083list price
$330–$13,671range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX | BCBS TX Blue ADV | $330 |
| NODE Tricare | NODE Tricare | $333 |
| Veterans Eval Services | Veterans Eval Services | $337 |
| Department of Veterans Affairs | NODE ChampVA | $350 |
| NODE Tricare USFHP | NODE Tricare USFHP | $350 |
| NODE TX Childrens Health Plan CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | $462 |
| NODE TX Childrens Health Plan STAR Medicaid TX | NODE TX Childrens Hea | $462 |
| Medicaid | NODE TX Medicaid | $462 |
| Non-Par Medicaid TX | NODE TX Medicaid NON PAR | $462 |
| NODE UHC CHIP Medicaid TX | NODE UHC CHIP Medicaid TX | $462 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $462 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $485 |
| NODE Molina STAR Medicaid TX | NODE Molina STAR Medicaid TX | $485 |
| Superior | NODE Superior CHIP/ STAR HEALTH Medicaid TX | $485 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $485 |
| Superior | NODE Superior STAR PLUS Medicaid TX | $485 |
| NODE Wellpoint CHIP Medicaid TX | NODE Wellpoint CHIP Medicaid TX | $485 |
| NODE Wellpoint STAR KIDS Medicaid TX | NODE Wellpoint STAR KIDS Medica | $485 |
| NODE Wellpoint STAR PLUS Medicaid TX | NODE Wellpoint STAR PLUS Medica | $485 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $605 |
| NODE TX Childrens Health Plan STAR KIDS Medicaid TX | NODE TX Children | $619 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $619 |
| NODE Molina Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $635 |
| NODE Superior STAR Medicaid TX | NODE Superior STAR Medicaid TX | $679 |
| Amerigroup | NODE Wellpoint STAR Medicaid TX | $679 |
| Self Pay | Self Pay | $804 |
| BCBS TX | BCBS TX HMO | $1,019 |
| BCBS TX | BCBS TX PPO | $1,049 |
| BCBS TX | BCBS TX Trad | $1,049 |
| United Healthcare | UHC APA | $1,316 |
Inpatient
$4,342cash price (self-pay)
$16,083list price
$1,608–$13,671range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $1,608 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $2,348 |
| Texas Rehab Commission | Texas Rehab Commission | $4,021 |
| United Healthcare | UHC APA | $7,131 |
| Aetna | Aetna NBD | $8,524 |
| Aetna | Aetna | $9,971 |
| Multiplan | Multiplan Primary | $12,062 |
| Galaxy Health Network | Galaxy Health Network | $13,671 |
| Multiplan | Multiplan Complementary | $13,671 |
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