CT abdomen and pelvis with contrast at Arroyo Grande Hospital. CPT 74177.

What Arroyo Grande Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$3,238cash price (self-pay)

$8,112list price

$282–$8,485range insurers pay

Insurance plan	Negotiated rate
CenCal \| Medicaid\|< 21	$282
CenCal \| Medicaid\|> 21	$282
Partnership Health Plan \| Medicaid\|< 21	$282
Partnership Health Plan \| Medicaid\|> 21	$282
Health Net \| Medicaid\|< 21	$426
Health Net \| Medicaid\|> 21	$426
Aetna \| Medicare\|All Plans	$454
Alignment \| Medicare\|All Plans	$454
BCBS - Anthem \| Medicare\|All Plans	$454
Humana \| Medicare\|All Plans	$454
Kaiser \| Medicare\|All Plans	$454
Scan Health Plan \| Medicare\|All Plans	$454
United \| Medicare\|All Plans	$454
MHS Hospice \| Commercial\|All Plans	$466
United \| Commercial\|All Other Plans	$828
United \| Commercial\|HMO	$828
United \| Commercial\|Non-Options PPO	$828
United \| Commercial\|Options PPO	$828
Aetna \| Commercial\|All Other Plans	$1,541
Aetna \| Commercial\|HMO	$1,541
Aetna \| Commercial\|PPO	$1,541
BCBS - Anthem \| Commercial\|Non-MCS	$1,642
Cigna \| Commercial\|All Other Plans	$1,756
Cigna \| Commercial\|PPO	$1,756
BCBS - Anthem \| Commercial\|MCS	$2,200
Western Growers \| Commercial\|All Plans	$4,056
Kaiser \| Commercial\|All Plans	$5,110
First Health \| Commercial\|All Plans	$6,814
Healthsmart \| Commercial\|All Plans	$7,463
MultiPlan \| Commercial\|All Plans	$7,949

$3,706cash price (self-pay)

$9,114list price

$5,455–$9,786range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$5,742
First Health \| Commercial\|All Plans	$7,656
Healthsmart \| Commercial\|All Plans	$8,385
MultiPlan \| Commercial\|All Plans	$8,932

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