CT abdomen and pelvis with contrast at California Hospital Medical Center. CPT 74177.
What California Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,724cash price (self-pay)
$3,555list price
$254–$2,808range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Noble IPA | Medicaid|< 21 | $254 |
| Noble IPA | Medicaid|> 21 | $254 |
| Gold Coast Health Plan | Medicaid|All Plans | $282 |
| HCLA | Medicaid|Preferred IPA < 21 | $282 |
| HCLA | Medicaid|Preferred IPA > 21 | $282 |
| Inland Empire Health Plan | Medicaid|All Plans | $282 |
| Preferred IPA | Medicaid|Risk | $282 |
| BCBS - Anthem | Medicaid|All Plans | $352 |
| Health Net | Medicaid|< 21 | $382 |
| Health Net | Medicaid|> 21 | $382 |
| Molina | Medicaid|< 21 | $395 |
| Molina | Medicaid|> 21 | $395 |
| Kaiser | Medicaid|< 21 | $423 |
| Kaiser | Medicaid|> 21 | $423 |
| GlobalCare | Commercial|All Plans | $454 |
| Aetna | Medicare|All Plans | $454 |
| Central California Alliance for Health | Medicaid|All Plans | $506 |
| BCBS - Anthem | Commercial|Exchange | $535 |
| HCLA | Commercial|Preferred IPA | $567 |
| LA Care | Commercial|All Plans | $567 |
| Healthcare Partners | Commercial|All Plans | $743 |
| BCBS - Anthem | Commercial|All Other Plans | $811 |
| United | Commercial|HMO | $828 |
| United | Commercial|PPO | $828 |
| DHR | Medicaid|< 21 | $889 |
| DHR | Medicaid|> 21 | $889 |
| LA Care | Medicaid|All Plans | $992 |
| BCBS - Anthem | Commercial|MCS | $998 |
| Blue Shield CA | Medicaid|All Plans | $1,409 |
| Care 1st | Medicaid|All Plans | $1,409 |
Inpatient
$1,724cash price (self-pay)
$3,555list price
$2,453–$2,808range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health | Commercial|All Plans | $2,453 |
| Kaiser | Commercial|All Plans | $2,489 |
| Healthsmart | Commercial|All Plans | $2,737 |
| MultiPlan | Commercial|All Plans | $2,808 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.