Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT ABD&PEL W CONTRAST
Houston, TX
See all hospitals reporting CPT 74177 →Price type
Chi St. Luke's Health Baylor College Of Medicine Medical Center’s median price of $1.0k is 35% above the median hospital's median price ($757), higher than 61% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 47 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|chip fee schedule · outpatient | $318.32 | $318.32 | $318.32 – $318.32 |
| 2 | UnitedHealthcare medicaid|starkids fee schedule · outpatient | $318.32 | $318.32 | $318.32 – $318.32 |
| 3 | UnitedHealthcare medicaid|all other plans fee schedule · outpatient | $324.45 | $324.45 | $324.45 – $324.45 |
| 4 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $327.68 | $327.68 | $327.68 – $327.68 |
| 5 | Aetna medicare|transplant case rate · outpatient | $357.71 | $357.71 | $357.71 – $357.71 |
| 6 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $357.71 | $357.71 | $357.71 – $357.71 |
| 7 | Cigna Healthspring medicare|hmo case rate · outpatient | $357.71 | $357.71 | $357.71 – $357.71 |
| 8 | Humana medicare|all other plans case rate · outpatient | $357.71 | $357.71 | $357.71 – $357.71 |
| 9 | Humana medicare|transplant case rate · outpatient | $357.71 | $357.71 | $357.71 – $357.71 |
| 10 | Cigna Healthspring medicare|ppo case rate · outpatient | $361.29 | $361.29 | $361.29 – $361.29 |
| 11 | Aetna medicare|all other plans case rate · outpatient | $364.86 | $364.86 | $364.86 – $364.86 |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $364.86 | $364.86 | $364.86 – $364.86 |
| 13 | UnitedHealthcare medicaid|star fee schedule · outpatient | $435.78 | $435.78 | $435.78 – $435.78 |
| 14 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $458.22 | $458.22 | $458.22 – $458.22 |
| 15 | Cigna commercial|surefit fee schedule · outpatient | $507.00 | $507.00 | $507.00 – $507.00 |
| 16 | Blue Cross Blue Shield commercial|blue advantage exchange fee schedule · outpatient | $511.68 | $511.68 | $511.68 – $511.68 |
| 17 | Superior Healthplan commercial|all plans case rate · outpatient | $536.57 | $536.57 | $536.57 – $536.57 |
| 18 | Aetna commercial|exchange case rate · outpatient | $550.87 | $550.87 | $550.87 – $550.87 |
| 19 | Cigna commercial|hmo fee schedule · outpatient | $559.00 | $559.00 | $559.00 – $559.00 |
| 20 | Aetna commercial|transplant fee schedule · outpatient | $590.00 | $590.00 | $590.00 – $590.00 |
| 21 | Blue Cross Blue Shield commercial|transplant fee schedule · outpatient | $689.56 | $689.56 | $689.56 – $689.56 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $761.00 | $761.00 | $761.00 – $761.00 |
| 23 | Humana commercial|hmo fee schedule · outpatient | $800.00 | $800.00 | $800.00 – $800.00 |
| 24 | Humana commercial|ppo fee schedule · outpatient | $800.00 | $800.00 | $800.00 – $800.00 |
| 25 | UnitedHealthcare medicaid|starplus fee schedule · outpatient | $992.44 | $992.44 | $992.44 – $992.44 |
Last updated: Feb 28, 2026
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