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 74177 CT ABD/PELVIS W CONTRAST
San Antonio, TX
See all hospitals reporting CPT 74177 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $464 is 39% below the median hospital's median price ($757), higher than 29% 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: 12 payers, 35 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 chip km fee schedule · outpatient | $252.74 | $252.74 | $252.74 – $252.74 |
| 2 | UnitedHealthcare star km fee schedule · outpatient | $252.74 | $252.74 | $252.74 – $252.74 |
| 3 | UnitedHealthcare star plus km fee schedule · outpatient | $252.74 | $252.74 | $252.74 – $252.74 |
| 4 | Aetna mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 5 | Bcbs Tx mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 6 | Humana gold choice mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 7 | Humana gold plus mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 8 | Molina medicare adv mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 9 | UnitedHealthcare mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 10 | WellCare mm fee schedule · outpatient | $335.34 | $335.34 | $335.34 – $335.34 |
| 11 | Devoted mm fee schedule · outpatient | $362.17 | $362.17 | $362.17 – $362.17 |
| 12 | Aetna chip km fee schedule · outpatient | $464.22 | $464.22 | $464.22 – $464.22 |
| 13 | Aetna star km fee schedule · outpatient | $464.22 | $464.22 | $464.22 – $464.22 |
| 14 | Bcbs Tx star chip km fee schedule · outpatient | $464.22 | $464.22 | $464.22 – $464.22 |
| 15 | Molina chip km fee schedule · outpatient | $464.22 | $464.22 | $464.22 – $464.22 |
| 16 | Molina star plus km fee schedule · outpatient | $464.22 | $464.22 | $464.22 – $464.22 |
| 17 | First Health hmo other · outpatient | $673.00 | $673.00 | $673.00 – $673.00 |
| 18 | Humana choicecare fee schedule · outpatient | $779.00 | $779.00 | $779.00 – $779.00 |
| 19 | Aetna new business per diem · outpatient | $821.00 | $821.00 | $821.00 – $821.00 |
| 20 | UnitedHealthcare all payer fee schedule · outpatient | $855.00 | $855.00 | $855.00 – $855.00 |
| 21 | Aetna epo per diem · outpatient | $912.00 | $912.00 | $912.00 – $912.00 |
| 22 | Aetna hmo per diem · outpatient | $912.00 | $912.00 | $912.00 – $912.00 |
| 23 | Aetna pos per diem · outpatient | $912.00 | $912.00 | $912.00 – $912.00 |
| 24 | Aetna ppo per diem · outpatient | $912.00 | $912.00 | $912.00 – $912.00 |
| 25 | Healthcare Highways ppo other · outpatient | $988.00 | $988.00 | $988.00 – $988.00 |
Last updated: Jan 13, 2026
See CT scan of abdomen and pelvis with contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.