CT abdomen and pelvis with contrast at Adventist Health Tulare. CPT 74177.
What Adventist Health Tulare publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$64.41cash price (self-pay)
$8,785list price
$47.70–$7,467range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna-All Plans | Cigna-All Plans | $47.70 |
| Blue Shield Mcare | Blue Shield Mcare | $85.16 |
| Fhcn Pace Mcr Adv - All Plans | Fhcn Pace Mcr Adv - All Plans | $85.16 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $85.16 |
| Healthnet Medicare | Healthnet Medicare | $85.16 |
| UHC Mcr Adv | UHC Mcr Adv | $85.16 |
| Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot | Upn-United Physcn | $85.16 |
| Incentive Hlth - All Plans | Incentive Hlth - All Plans | $93.68 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $93.68 |
| Hs Interplan-All Plans | Hs Interplan-All Plans | $106 |
| Cal Forensic Med Grp - All Plans | Cal Forensic Med Grp - All Plans | $111 |
| Healthnet HMO/PPO - All Other Plans | Healthnet HMO/PPO - All Other Pl | $124 |
| Blue Cross Non Mcs - All Other Plans | Blue Cross Non Mcs - All Other | $140 |
| Blue Shield Epn | Blue Shield Epn | $157 |
| Blue Shield-All Other Plans | Blue Shield-All Other Plans | $166 |
| Aetna-All Plans | Aetna-All Plans | $230 |
| Blue Cross Mcal | Blue Cross Mcal | $282 |
| Medi-Cal | Medi-Cal | $282 |
| Ccipa Medi-Cal - All Plans | Ccipa Medi-Cal - All Plans | $282 |
| Healthnet Medi-Cal | Healthnet Medi-Cal | $282 |
| Upn-United Physcn Ntwrk Mcal Profee Only | Upn-United Physcn Ntwrk Mca | $282 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $420 |
| UHC Jll | UHC Jll | $420 |
| Dignity Mcal Op Only | Dignity Mcal Op Only | $445 |
| Independence Op Only - All Plans | Independence Op Only - All Plans | $445 |
| Dignity Mcr Op Only - All Other Plans | Dignity Mcr Op Only - All Othe | $449 |
| Prime Health - All Plans | Prime Health - All Plans | $449 |
| Prison Hlthcre - All Plans | Prison Hlthcre - All Plans | $574 |
| Bright Health - All Plans | Bright Health - All Plans | $651 |
| Blue Cross Exchange | Blue Cross Exchange | $1,256 |
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