CT abdomen and pelvis with contrast at Coast Plaza Hospital. CPT 74177.
What Coast Plaza Hospital publishes for this service, straight from its standard-charges file, last updated February 4, 2026.
Outpatient / ER
$7,367cash price (self-pay)
$7,367list price
$287–$5,893range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medi-Cal | $287 |
| OmniCare Medical Group | HMO | $466 |
| AltaMed Health Network | HMO | $481 |
| America's Health Network | HMO | $481 |
| Blue Cross | Medicare Advantage | $481 |
| LA Care | Covered California | $481 |
| Heritage Provider Network | All Commercial Plans | $505 |
| Santa Monica Unite Here Health Benefit Trust Fund | All Plans | $505 |
| Brand New Day | All Commercial Plans | $529 |
| Bright Health | All Commercial Plans | $529 |
| Providence Health Network/Oscar | EPO | $529 |
| United Healthcare | All Plans | $591 |
| Optum Health Plan of California | HMO | $601 |
| Central Health Plan | HMO | $625 |
| Blue Shield | HMO/PPO | $721 |
| Cigna | HMO/PPO | $749 |
| Health Net Salud | HMO/PPO/EPO | $876 |
| Health Net/Ambetter | PPO/Covered California | $914 |
| Prime Health Services | HMO/PPO | $961 |
| Provider Network of America | PPO | $961 |
| Health Net/Ambetter | HMO | $1,120 |
| Health Net | HMO/PPO | $1,143 |
| Blue Cross | HMO/PPO | $4,993 |
| HealthRisk Resource Group | All Commercial Plans | $5,157 |
| Affiliated Health Funds | PPO | $5,525 |
| HealthSmart Preferred Care | All Commercial Plans | $5,525 |
| Multiplan/PHCS | All Plans | $5,746 |
| Pacific Health Alliance | PPO | $5,893 |
| Three Rivers Provider Network | All Commercial Plans | $5,893 |
Inpatient
$7,367cash price (self-pay)
$7,367list price
$5,157–$5,893range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthRisk Resource Group | All Commercial Plans | $5,157 |
| HealthSmart Preferred Care | All Commercial Plans | $5,525 |
| Multiplan/PHCS | All Plans | $5,746 |
| Pacific Health Alliance | PPO | $5,893 |
| Three Rivers Provider Network | All Commercial Plans | $5,893 |
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