CT abdomen and pelvis with contrast at Doctors Hospital of Riverside. CPT 74177.
What Doctors Hospital of Riverside publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$5,300cash price (self-pay)
$5,300list price
$282–$5,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Medi-Cal | $282 |
| Blue Shield | Blue Shield Medi-Cal | $282 |
| Health Net | Health Net Medi-Cal | $282 |
| Medi-Cal | Medi-Cal | $282 |
| Molina Medi-cal | Molina Medi-cal | $282 |
| Ahmc | Ahmc | $335 |
| Regal | Regal Medi-Cal | $338 |
| IEHP | IEHP Medi-Cal | $359 |
| Central Health Plan | Central Health Plan | $398 |
| Humana | Humana | $433 |
| Alignment | Alignment | $442 |
| Blue Cross | Blue Cross Sr | $442 |
| Medicare | Medicare | $442 |
| Aetna | Aetna Senior | $449 |
| Blue Shield | Blue Shield Senior | $449 |
| Champus | Champus | $449 |
| IEHP | IEHP Senior | $449 |
| Molina Covered CA | Molina Covered CA | $449 |
| Molina Senior | Molina Senior | $449 |
| Optum | Optum Commercial | $449 |
| Scan | Scan | $449 |
| IEHP | IEHP Covered CA | $574 |
| UHC HMO | UHC HMO | $602 |
| UHC PPO | UHC PPO | $602 |
| United Health Care | United Health Care | $602 |
| Health Net | Health Net Covered CA | $611 |
| Health Net | Health Net Senior | $636 |
| Blue Cross Exchange | Blue Cross Exchange | $766 |
| Aetna | Aetna Commercial | $810 |
| Blue Cross HMO | Blue Cross HMO | $932 |
Inpatient
$5,300cash price (self-pay)
$5,300list price
$5,300–$5,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $5,300 |
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