CT abdomen and pelvis with contrast at Garfield Medical Center. CPT 74177.
What Garfield Medical Center publishes for this service, straight from its standard-charges file, last updated March 12, 2026.
Outpatient / ER
$5,265cash price (self-pay)
$5,947list price
$88.52–$6,628range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross MCL Manage Care | $88.52 |
| Advantage Care IPA | Advantage Care IPA Ancillary COMM/POS/EPO | $190 |
| Advantage Care IPA | Advantage Care IPA Ancillary SR | $190 |
| Advantage Care IPA | Advantage Care IPA Ancillary Medi-Cal | $282 |
| AIDS Health Foundation | AIDS Health Foundation/Positive Health Medi-c | $282 |
| Avanti | Avanti Medi-cal | $282 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $282 |
| Blue Cross | Blue Cross Medi-Cal/HF CAP/Reciprocity | $282 |
| CARE 1st MCL/GAR CAP RECIPROCITY | CARE 1st MCL/GAR CAP RECIPROCITY | $282 |
| Community Health Plan | Community Health Plan Medi-Cal Managed Care | $282 |
| Emanate Health | Emanate Health Medi-Cal | $282 |
| Health Net | Health Net Medi Cal | $282 |
| AHMC HealthCare Inc | AHMC Medi-Cal Reciprocity Agreement | $345 |
| AHMC HealthCare Inc | AHMC Reciprocity Agreement Commercial | $345 |
| AHMC HealthCare Inc | AHMC Reciprocity Agreement Senior | $345 |
| Aetna | Aetna | $380 |
| CalOptima Direct | CalOptima Direct | $414 |
| Associated Hispanic Phys of So Cal | Assoc Hispanic Phys OP Only/MCal | $595 |
| Blue Cross of CA | Blue Cross of CA | $1,138 |
| Associated Hispanic Phys of So Cal | Assoc Hispanic Phys Comm/SR/OP On | $1,189 |
| Central Health Plan | Central Health Plan | $1,200 |
| Cigna Healthcare | Cigna HMO/PPO/Open Access/Network | $1,301 |
| AHMC HealthCare Inc | AHMC Reciprocity Agreement Senior/Commercial | $1,500 |
| Access IPA Ancillary | Access IPA Comm/SR Ancillary | $2,379 |
| Access IPA Ancillary | Access IPA Medi-Cal/HMO/Master | $2,379 |
| Health Net Foundation Comm/SR (Family Health Alliance) | Health Net Fo | $2,379 |
| Health Net Foundation M Cal (Family Health Alliance) | Health Net Foun | $2,379 |
| Aetna Health of California | Aetna Health Fund | $2,640 |
| Blue Shield of California | Blue Shield Value Network | $2,713 |
| Health Net | Health Net Healthy Families and Kids | $2,765 |
Inpatient
$5,265cash price (self-pay)
$5,947list price
$2,633–$6,628range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross of CA Out-of-State Plan | $2,973 |
| Blue Shield of California | Blue Shield HMO Reciprocity | $2,973 |
| Interplan | Interplan | $4,460 |
| Americas Health Plan | Americas Health Plan | $5,055 |
| Multiplan | Multiplan | $5,055 |
| Health Payors Organization | Health Payors Organization | $5,352 |
| Advantage Care IPA | Advantage Care IPA Ancillary COMM/POS/EPO | $5,947 |
| Advantage Care IPA | Advantage Care IPA Ancillary Medi-Cal | $5,947 |
| Advantage Care IPA | Advantage Care IPA Ancillary SR | $5,947 |
| East LA Reg CTR | East LA Reg CTR for Dev Mntly Dis | $5,947 |
| Non Contract Commercial | Non Contract Commercial | $5,947 |
| Physicians Healthways Medical Corporation | Physicians Healthways Anci | $5,947 |
| Physicians Healthways Medi-Cal | Physicians Healthways Medi-Cal | $5,947 |
| Physicians Healthways Medical Corporation | Physicians Healthways SR | $5,947 |
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