CT abdomen and pelvis with contrast at Adventist Health Mendocino Coast. CPT 74177.
What Adventist Health Mendocino Coast publishes for this service, straight from its standard-charges file, last updated August 2, 2026.
Outpatient / ER
$224cash price (self-pay)
$339list price
$85.16–$5,400range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna - All Plans | Cigna - All Plans | $85.16 |
| UHC Mcr Adv | UHC Mcr Adv | $85.16 |
| Tricare Blue Shield | Tricare Blue Shield | $85.16 |
| Blue Cross - All Other Plans | Blue Cross - All Other Plans | $89.95 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $93.68 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $120 |
| UHC Jll Csp | UHC Jll Csp | $120 |
| Healthnet - All Plans | Healthnet - All Plans | $124 |
| Blue Shield Epn | Blue Shield Epn | $157 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $166 |
| Medi-Cal | Medi-Cal | $282 |
| Ahcc - All Plans | Ahcc - All Plans | $339 |
| Beech Street - All Plans | Beech Street - All Plans | $339 |
| Great West HMO/POS/EPO/Oa | Great West HMO/POS/EPO/Oa | $339 |
| Great West PPO - All Other Plans | Great West PPO - All Other Plans | $339 |
| Multiplan - All Plans | Multiplan - All Plans | $339 |
| Partnership Hp Mcal-All Plans | Partnership Hp Mcal-All Plans | $339 |
| Blue Cross Exchange | Blue Cross Exchange | $1,562 |
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