CT abdomen and pelvis with contrast at Glendale Adventist Medical Center. CPT 74177.
What Glendale Adventist Medical Center publishes for this service, straight from its standard-charges file, last updated July 30, 2026.
Outpatient / ER
$56.10cash price (self-pay)
$374list price
$13.05–$15,869range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $13.05 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $13.05 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $47.70 |
| Cigna HMO | Cigna HMO | $47.70 |
| Healthcare Partners- All Plans | Healthcare Partners- All Plans | $88.88 |
| La Care Mcr Adv- All Plans | La Care Mcr Adv- All Plans | $88.88 |
| Molina Mcr | Molina Mcr | $88.88 |
| Scan Mcr Adv - All Plans | Scan Mcr Adv - All Plans | $88.88 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $88.88 |
| Alignment Hp Mcr Adv - All Plans | Alignment Hp Mcr Adv - All Plans | $88.88 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $88.88 |
| Caremore Mcr Adv - All Plans | Caremore Mcr Adv - All Plans | $88.88 |
| Clever Care Mcr Adv - All Plans | Clever Care Mcr Adv - All Plans | $88.88 |
| Aetna - All Plans | Aetna - All Plans | $89.03 |
| Optum Health - All Other Plans | Optum Health - All Other Plans | $91.55 |
| Optum Health Mcr Adv | Optum Health Mcr Adv | $91.55 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $92.44 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $97.77 |
| Heritage Commercial - All Other Plans | Heritage Commercial - All Oth | $107 |
| Heritage Sr | Heritage Sr | $107 |
| Regal Medical Group Commercial - All Other Plans | Regal Medical Group | $107 |
| Dept Of State Hsp Metropolitan- All Plans | Dept Of State Hsp Metropol | $116 |
| Molina Exchange - All Other Plans | Molina Exchange - All Other Plans | $120 |
| UHC HMO | UHC HMO | $120 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $126 |
| Healthnet - All Other Plans | Healthnet - All Other Plans | $130 |
| Centivo - All Plans | Centivo - All Plans | $133 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $157 |
| Blue Shield Non Epn | Blue Shield Non Epn | $166 |
| First Health- All Plans | First Health- All Plans | $217 |
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