CT abdomen and pelvis with contrast at Adventist Health Medical Center Tehachapi. CPT 74177.
What Adventist Health Medical Center Tehachapi publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$91.53cash price (self-pay)
$1,084list price
$13.33–$7,092range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Non-Mcs- All Other Plans | Blue Cross Non-Mcs- All Other Pl | $13.33 |
| Cigna- All Plans | Cigna- All Plans | $47.70 |
| Healthnet Mcare | Healthnet Mcare | $85.54 |
| Tricare Blue Shield | Tricare Blue Shield | $85.54 |
| UHC Mcr Adv | UHC Mcr Adv | $85.54 |
| Universal Ipa Mcr Adv Op/Profee Only-All Other Pla | Universal Ipa Mcr | $85.54 |
| Network Providers- All Plans | Network Providers- All Plans | $93.24 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $94.09 |
| Oscar Health Plan- All Plans | Oscar Health Plan- All Plans | $98.37 |
| Aetna-All Plans | Aetna-All Plans | $98.86 |
| Coventry- All Plans | Coventry- All Plans | $103 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $125 |
| Western Grwrs/Pinnacle - All Plans | Western Grwrs/Pinnacle - All Plan | $127 |
| Centivo - All Plans | Centivo - All Plans | $128 |
| Blue Shield Epn- All Other Plans | Blue Shield Epn- All Other Plans | $157 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $166 |
| Medi-Cal | Medi-Cal | $282 |
| Universal Ipa Mcal Op/Profee Only | Universal Ipa Mcal Op/Profee Only | $282 |
| Kaiser Medi-Cal Ip/Op Only | Kaiser Medi-Cal Ip/Op Only | $404 |
| Bc Mcal | Bc Mcal | $416 |
| UHC All Payer- All Other Plans | UHC All Payer- All Other Plans | $420 |
| UHC Jll Csp | UHC Jll Csp | $420 |
| Healthnet Medi-Cal | Healthnet Medi-Cal | $496 |
| Khs-Kern Hlth Systm Mcal | Khs-Kern Hlth Systm Mcal | $521 |
| Kaiser Medicare Ip/Op Only | Kaiser Medicare Ip/Op Only | $852 |
| Blue Cross Exchange | Blue Cross Exchange | $920 |
| Kaiser Ip/Op Only- All Other Plans | Kaiser Ip/Op Only- All Other Plan | $1,465 |
| Klhp-Kern Legacy EPO -All Other Plans | Klhp-Kern Legacy EPO -All Othe | $2,241 |
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All common services at Adventist Health Medical Center Tehachapi