CT abdomen and pelvis with contrast at Community Hospital San Bernardino. CPT 74177.

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

Outpatient / ER

$784cash price (self-pay)

$2,005list price

$282–$2,005range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Medicaid\|< 21	$282
Kaiser \| Medicaid\|> 21	$282
LA Care \| Medicaid\|< 21	$282
LA Care \| Medicaid\|> 21	$282
Partnership Health Plan \| Medicaid\|< 21	$282
Partnership Health Plan \| Medicaid\|> 21	$282
Molina \| Medicaid\|All Plans	$395
HPN \| Medicaid\|All Plans	$413
BCBS - Anthem \| Medicaid\|All Plans	$423
Health Net \| Medicaid\|< 21	$426
Health Net \| Medicaid\|> 21	$426
SBMG \| Commercial\|All Plans	$441
BCBS - Anthem \| Medicare\|All Plans	$454
Blue Shield CA \| Medicare\|All Other Plans	$454
Central Health Plan \| Medicare\|All Plans	$454
Epic Health \| Medicare\|All Plans	$454
Humana \| Medicare\|All Plans	$454
Inland Empire Health Plan \| Medicare\|All Plans	$454
Ballards Rehab \| Commercial\|All Plans	$499
Aetna \| Commercial\|Gatekeeper	$521
Inland Empire Health Plan \| Medicaid\|All Plans	$564
Aetna \| Commercial\|Non-Gatekeeper	$625
PrimeCare \| Commercial\|All Plans	$629
Epic Health \| Commercial\|All Plans	$771
United \| Commercial\|All Other Plans	$828
United \| Commercial\|HMO	$828
BCBS - Anthem \| Commercial\|All Other Plans	$873
Naphcare \| Commercial\|All Plans	$885
Cigna \| Commercial\|All Other Plans	$891
Cigna \| Commercial\|PPO	$891

$784cash price (self-pay)

$2,005list price

$1,203–$2,005range insurers pay

Insurance plan	Negotiated rate
Magellan \| Commercial\|All Plans	$1,203
Kaiser \| Commercial\|All Plans	$1,243
First Health \| Commercial\|All Plans	$1,404
MultiPlan \| Commercial\|All Plans	$1,604
Redlands \| Commercial\|All Plans	$2,005
SBMG \| Commercial\|All Plans	$2,005

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