CT abdomen and pelvis with contrast at Anaheim Regional Medical Center. CPT 74177.
What Anaheim Regional Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$5,365cash price (self-pay)
$5,365list price
$52.50–$5,365range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Affiliated Doctors of Orange County | Affiliated Doctors of Orange Cou | $150 |
| AIDS Health Foundation | AIDS Health Foundation/Positive Health Medi-c | $282 |
| Altamed Health Network | Altamed Health Network Medi-Cal | $282 |
| Altamed Health Network | Altamed Health Network Medi-Cal/Healthy Famil | $282 |
| Applecare Medical Group | Applecare Medical Group Medi-Cal | $282 |
| Avanti | Avanti Medi-cal | $282 |
| Beverly Hospital | Beverly Hospital Medi-Cal | $282 |
| Emanate Health | Emanate Health Medi-Cal | $282 |
| Health Net | Health Net Medi-Cal | $282 |
| HealthCare Partners | HealthCare Partners/Medi-cal/Healthy Families | $282 |
| AHMC Reciprocity Agreement | AHMC Reciprocity Agreement Commercial | $345 |
| AHMC Reciprocity Agreement | AHMC Reciprocity Agreement Medi-Cal | $345 |
| AHMC Reciprocity Agreement | AHMC Reciprocity Agreement Sr | $345 |
| CalOptima | CalOptima Kids | $352 |
| CalOptima | CalOptima | $395 |
| CalOptima | CalOptima MediCal Expansion Program | $395 |
| Arta Medicare Health Plan | Arta Medicare Health Plan | $400 |
| Genesis Healthcare IPA Ancillary | Genesis Healthcare IPA Ancillary | $413 |
| Care First | Blue Shield Promise Health Plan Senior | $600 |
| Care First | Blue Shield Promise Heath Plan Commercial | $630 |
| Davita HeatlhCare Partners Plan Inc | Davita Health Plan of California | $699 |
| Blue Cross of California | Blue Cross Non-MCS | $756 |
| Huntington Memorial Hospital | HCP/Huntington Memorial Hospital | $957 |
| HealthCare Partners Commercial | HealthCare Partners Commercial | $957 |
| Aetna | Aetna Gatekeeper | $1,192 |
| Aetna | Aetna Non-Gatekeeper | $1,192 |
| CIGNA Healthcare of California | Cigna HMO/PPO/Open Access/Network | $1,520 |
| Advance Clinical Research Institute | Advance Clinical Research Instit | $1,610 |
| Blue Shield of California | Blue Shield HMO | $2,759 |
| Blue Shield of California | Blue Shield Value Network | $2,859 |
Inpatient
$5,365cash price (self-pay)
$5,365list price
$1,341–$5,365range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NetCare Life and Health Insurance | NetCare Commercial/Senior | $1,341 |
| National Provider Network | National Provider Network | $4,292 |
| Three Rivers Providers Network | Three Rivers Providers Network | $4,292 |
| Health Payors Organization | Health Payors Organization | $4,829 |
| Non Contracted Commercial | Non Contracted Commercial | $5,365 |
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