CT abdomen and pelvis with contrast at Dameron Hospital. CPT 74177.
What Dameron Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$9,022cash price (self-pay)
$20,050list price
$102–$20,030range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Omni Ipa/Medcore Mg Comm Op Only-All Other Plans | Omni Ipa/Medcore Mg | $102 |
| Medi-Cal Ip/Op Only | Medi-Cal Ip/Op Only | $404 |
| Alignment Mcr Adv Ip/Op Only-All Plans | Alignment Mcr Adv Ip/Op Only- | $423 |
| Hill Physicians Mg Mcal Op Only | Hill Physicians Mg Mcal Op Only | $445 |
| Easy Choice Hp Mcr Adv Ip/Op Only-All Plans | Easy Choice Hp Mcr Adv I | $446 |
| America'S Choice Mcr Adv Ip/Op Only | America'S Choice Mcr Adv Ip/Op O | $460 |
| Blue Shield Mcr Adv Ip/Op Only | Blue Shield Mcr Adv Ip/Op Only | $460 |
| Care 1st Health Plan Mcr Ip/Op Only-All Plans | Care 1st Health Plan M | $460 |
| Commonwealth Care Mcr Ip/Op Only-All Plans | Commonwealth Care Mcr Ip/ | $460 |
| Humana Mcr Adv Ip/Op Only-All Plans | Humana Mcr Adv Ip/Op Only-All Pl | $460 |
| Omni Ipa/Medcore Mg Mcr Op Only | Omni Ipa/Medcore Mg Mcr Op Only | $460 |
| Aetna Medicare Ip/Op Only | Aetna Medicare Ip/Op Only | $460 |
| Blue Cross Medicare Ip/Op Only | Blue Cross Medicare Ip/Op Only | $460 |
| Medcore Hp Mcr Adv Ip/Op Only-All Plans | Medcore Hp Mcr Adv Ip/Op Onl | $460 |
| Bright Hlth/Universal Care/Bnd Mcr Adv Ip/Op Only | Bright Hlth/Univer | $469 |
| Imperial Hp Of CA Mcr Adv Ip/Op Only-All Plans | Imperial Hp Of CA Mcr | $515 |
| Hp Of San Joaquin Mcal Ip/Op Only-All Plans | Hp Of San Joaquin Mcal I | $525 |
| Blue Shield Promise Mcal Ip/Op Only | Blue Shield Promise Mcal Ip/Op O | $546 |
| Cdcr (Network Providers, LLC) Ip/Op Only-All Plans | Cdcr (Network Pro | $598 |
| Pace Mcal Ip/Op Only | Pace Mcal Ip/Op Only | $606 |
| Incentive Care Network Ip/Op Only-All Plans | Incentive Care Network I | $828 |
| Bright Hlth/Universal Care/Bnd Ip/Op Only-All Othe | Bright Hlth/Unive | $851 |
| Networks By Design Exclusive Ip/Op Only-All Other | Networks By Design | $1,580 |
| First Health Network Ip/Op Only-All Plans | First Health Network Ip/Op | $2,500 |
| Aetna HMO/PPO Ip/Op Only-All Other Plans | Aetna HMO/PPO Ip/Op Only-Al | $4,725 |
| Blue Shield Ifp/Epn Ip/Op Only | Blue Shield Ifp/Epn Ip/Op Only | $5,133 |
| Interplan/Healthsmart Ip/Op Only-All Plans | Interplan/Healthsmart Ip/ | $6,000 |
| Sutter Select Ip/Op Only-All Other Plans | Sutter Select Ip/Op Only-Al | $6,015 |
| Blue Shield Comm Ip/Op Only-All Other Plans | Blue Shield Comm Ip/Op O | $6,436 |
| Hill Physicians Mg Mcr Op Only | Hill Physicians Mg Mcr Op Only | $7,017 |
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