CT abdomen and pelvis with contrast at Glendale Memorial Hospital Health Center. CPT 74177.

What Glendale Memorial Hospital Health Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$3,253cash price (self-pay)

$9,979list price

$282–$7,983range insurers pay

Insurance plan	Negotiated rate
HCLA \| Medicaid\|Preferred IPA < 21	$282
HCLA \| Medicaid\|Preferred IPA > 21	$282
Health Net \| Medicaid\|Preferred IPA	$282
Health Net \| Medicaid\|< 21	$345
Health Net \| Medicaid\|> 21	$345
HPN \| Medicaid\|< 21	$347
HPN \| Medicaid\|> 21	$347
BCBS - Anthem \| Medicaid\|All Plans	$352
Health Net \| Medicaid\|Alhambra < 21	$366
Health Net \| Medicaid\|Alhambra > 21	$366
Molina \| Medicaid\|All Plans	$395
Kaiser \| Medicaid\|< 21	$423
Kaiser \| Medicaid\|> 21	$423
Humana \| Commercial\|All Plans	$454
MHN \| Commercial\|All Plans	$454
BCBS - Anthem \| Commercial\|Alhambra	$567
BCBS - Anthem \| Commercial\|HCLA	$567
HCLA \| Commercial\|All Other Plans	$567
HCLA \| Commercial\|Preferred IPA	$567
Health Net \| Commercial\|HCLA	$567
LA Care \| Commercial\|All Plans	$567
BCBS - Anthem \| Commercial\|Non-MCS	$768
United \| Commercial\|HMO	$828
United \| Commercial\|Navigate	$828
United \| Commercial\|Options PPO	$828
United \| Commercial\|PPO	$828
BCBS - Anthem \| Commercial\|MCS	$1,014
Healthcare Partners \| Commercial\|All Plans	$1,046
Aetna \| Commercial\|All Other Plans	$1,100
Aetna \| Commercial\|HMO	$1,100

$3,253cash price (self-pay)

$9,979list price

$5,588–$7,983range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$5,588
Blue Shield CA \| Commercial\|Magellan	$5,987
First Health \| Commercial\|All Plans	$6,486
MultiPlan \| Commercial\|All Plans	$7,983

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