CT abdomen and pelvis with contrast at Foothill Regional Medical Center. CPT 74177.
What Foothill Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$8,979cash price (self-pay)
$8,979list price
$14.68–$7,722range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Covered California/IFP/PPO | $14.68 |
| Blue Shield of California | HMO | $16.82 |
| Blue Shield of California | EPO/PPO/Out of State | $18.32 |
| CalOptima | Managed Medi-Cal LTC | $282 |
| United Healthcare | Managed Care | $342 |
| Alignment Health Plan | Medicare Advantage | $357 |
| Anthem Blue Cross | Medicare Advantage | $357 |
| Blue Shield of California | Medicare Advantage | $357 |
| Central Health Plan | Medicare Advantage | $357 |
| Health Net of California | Medicare Advantage | $357 |
| Humana | Medicare Advantage | $357 |
| Legacy Health Plan | Medicare Advantage | $357 |
| Aetna | Medicare Advantage | $357 |
| CalOptima | Medicare Advantage/PACE | $357 |
| Optum Health | Commercial HMO | $357 |
| Clever Care | Medicare Advantage | $364 |
| Imperial Health Plan | Medicare Advantage | $364 |
| Bright Health | Medicare Advantage | $364 |
| Easy Choice Health Plan (WellCare) | Medicare Advantage | $364 |
| Optum Health | Medicare Advantage | $364 |
| Prime Health Services | Medicare Advantage | $375 |
| Patient Choice | Medicare Advantage | $375 |
| Bright Health | Covered California/HMO/PPO | $393 |
| Aetna | Exchange | $464 |
| Naphcare | Commercial | $536 |
| Aetna | All Gatekeeper Plans | $649 |
| Aetna | All Non-Gatekeeper Plans | $649 |
| CalOptima | Managed Medi-Cal | $676 |
| Anthem Blue Cross | Commercial HMO-PPO/Covered California | $921 |
| Anthem Blue Cross | PPG | $1,151 |
Inpatient
$8,979cash price (self-pay)
$8,979list price
$6,286–$7,722range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Health Services | Commercial | $6,286 |
| PHCS Network | Commercial PPO | $6,465 |
| Multiplan | Commercial | $7,722 |
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