CT abdomen and pelvis with contrast at Encino Hospital Medical Center. CPT 74177.
What Encino Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$446cash price (self-pay)
$4,185list price
$203–$6,018range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $203 |
| Blue Shield Of Promise | Blue Sheild Of Promise Medi-Cal | $203 |
| Health Net of CA | Health Net Of CA Medi-Cal IPA | $203 |
| LA Care Health Plan | L.A Care Health Plan Medi-Cal | $203 |
| Molina | Molina Medi-Cal | $203 |
| Traditional Medi-Cal | Traditional Medi-Cal | $203 |
| Health Net of CA | Health Net Of CA Medi-Cal | $217 |
| Anthem Blue Cross | Anthem Blue Cross Medi-cal | $296 |
| AIDS Healthcare Foundation | Aids Health Care Foundation MSSP | $447 |
| Alignment | Alignment Medicare | $447 |
| BLUE SHIELD OF CA, VA | Blue Shield of CA, VA | $447 |
| Blue Shield Of Promise | Blue Sheild Of Promise Duals | $447 |
| Health Net Federal Serivces (TRICARE) | Health Net Federal Services Tr | $447 |
| Health Net of CA | Health Net Of CA Cal-Mediconnect | $447 |
| Health Net of CA | Health Net Of CA Medicare | $447 |
| LA Care Health Plan | L.A Care Health Plan Covered CA and Covered Dire | $447 |
| LA Care Health Plan | L.A Care Health Plan Duals | $447 |
| Managed Health Network | Managed Health Network Medicare | $447 |
| Molina | Molina Exchange | $447 |
| Molina | Molina Medicare | $447 |
| Renal Payer Solutions | Renal Payer Solutions Medicare | $447 |
| Traditional Medicare | Traditional Medicare | $447 |
| Tricare | Tricare | $447 |
| USA Senior Care Network | USA Senior Care Network Medicare | $447 |
| Brand New Day | Brand New Day Medicare | $451 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medicare | $455 |
| Imperial Health Plan CA | Imperial Health Plan CA Medicare | $473 |
| CORVEL | Corvel Workers Compensation | $559 |
| Aetna | Coventry Workers Compensation | $571 |
| AMERICAS CHOICE PROVIDER NETWORK | Americas Choice Provider Network Wo | $571 |
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