CT abdomen and pelvis with contrast at Glendora Hospital. CPT 74177.
What Glendora Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$154cash price (self-pay)
$1,853list price
$103–$2,975range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| DaVita Healthplan | Managed Care | $231 |
| Healthcare Partners | Managed Care | $231 |
| Accountable Healthcare IPA | MediCal Managed Care | $282 |
| Anthem Blue Cross | MediCal Managed Care | $282 |
| Benevolence Healthcare | MediCal Managed Care | $282 |
| Blue Shield | MediCal Managed Care | $282 |
| Brand New Day | MediCal Managed Care | $282 |
| Care First | MediCal Managed Care | $282 |
| Health Net | MediCal Managed Care | $282 |
| Heritage Provider Network | MediCal Managed Care | $282 |
| Kaiser | Managed Care | $282 |
| LA Care | MediCal Managed Care | $282 |
| Accountable Healthcare IPA | Managed Care | $360 |
| Imperial Health Plan | Medicare Managed Care | $360 |
| Aetna | Managed Care | $413 |
| Cigna | Managed Care | $446 |
| Accountable Healthcare IPA | Medicare Managed Care | $450 |
| Aetna | Medicare Managed Care | $450 |
| AltaMed | MediCal Managed Care | $450 |
| AltaMed | Medicare Managed Care | $450 |
| Anthem Blue Cross | Medicare Managed Care HMO and PPO | $450 |
| Benevolence Healthcare | Covered California | $450 |
| Benevolence Healthcare | Medicare Managed Care | $450 |
| Blue Shield | Medicare Managed Care | $450 |
| Brand New Day | Medicare Managed Care | $450 |
| Care First | Medicare Managed Care | $450 |
| Caremore | Medicare Managed Care | $450 |
| Central Health Plan | Medicare Managed Care | $450 |
| Easy Choice | Medicare Managed Care | $450 |
| Health Net | Medicare Managed Care | $450 |
Inpatient
$154cash price (self-pay)
$1,853list price
$123–$2,969range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial | $1,112 |
| Anthem Blue Cross | MediCal Managed Care | $1,700 |
| Anthem Blue Cross | HMO/PPO/EPO/Indemnity/Workers Comp | $2,969 |
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