CT abdomen and pelvis with contrast at Garden Grove Hospital Medical Center. CPT 74177.
What Garden Grove Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$446cash price (self-pay)
$9,124list price
$203–$9,124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caloptima | Caloptima Medi-Cal IP | $203 |
| Molina | Molina Medi-Cal | $203 |
| Traditional Medi-Cal | Traditional Medi-Cal | $203 |
| Health Net of CA | Health Net Of CA Medi-Cal | $217 |
| Blue Shield Of CA | Blue Shield Of VA | $447 |
| Central Health Plan | Central Health Plan Medicare | $447 |
| Health Net of CA | Health Net Of CA Medicare | $447 |
| Health Net of CA | Health Net of CA Tricare | $447 |
| Innovative Mgmt Svcs | Innovative Mgmt Svcs | $447 |
| MedCare Partners Health Plan | MedCare Partners Health Plan Medicare | $447 |
| Molina | Molina Exchange | $447 |
| Molina | Molina Medicare | $447 |
| Patient Choice Health Plan | Patient Choice Health Plan medicare | $447 |
| Renal Payer Solutions | Renal Payer Solutions Medicare | $447 |
| Traditional Medicare | Traditional Medicare | $447 |
| Tricare | Tricare | $447 |
| Verda HealthPlan | Verda Healthplan Medicare | $447 |
| Brand New Day | Brand New Day Medicare | $451 |
| Imperial Health Plan Of CA | Imperial Health Plan Of CA Medicare | $473 |
| Aetna | Aetna Coventry Workers Compensation | $571 |
| Workers Compensation | Workers Compensation | $588 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $625 |
| Health Net of CA | Health Net Of CA Commercial PPO | $628 |
| Health Net of CA | Health Net Of CA Commercial Ins Exchange | $652 |
| Brand New Day | Brand New Day Exchange | $670 |
| Naphcare | Naphcare Residential Treatment Center | $692 |
| Naphcare | Naphcare Santa Ana - County Jail | $692 |
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