CT abdomen and pelvis with contrast at Greater El Monte Community Hospital. CPT 74177.
What Greater El Monte Community Hospital publishes for this service, straight from its standard-charges file, last updated March 3, 2026.
Outpatient / ER
$4,967cash price (self-pay)
$4,967list price
$20.00–$4,967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of California | Blue Cross Medi Cal | $88.52 |
| Care 1st Medi Cal HMO Cap Exceptional Care | Care 1st Medi Cal HMO Cap | $200 |
| AIDS Health Foundation | AIDS Health Foundation/Positive Health Medi-c | $282 |
| AltaMed Health Network | AltaMed Health Network Medi-Cal | $282 |
| Associated Hispanic Physicians | Associated Hispanic Physicians Medi C | $282 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $282 |
| Avanti | ELAS DRS Hospital/Avanti/MCAL | $282 |
| Emanate Health | Emanate Health Medi-Cal | $282 |
| Health Net Foundation | Health Net Medi-Cal | $282 |
| Central Health Plan | Central Health Plan HMO | $300 |
| Clinica Medica Familiar | Clinica Medica Familiar HMO Comm/SR | $300 |
| AHMC Reciprocity Agreement | AHMC Reciprocity Agreement Commercial | $345 |
| AHMC Reciprocity Agreement | AHMC Reciprocity Agreement Senior | $345 |
| CalOptima | CalOptima Health Plans | $414 |
| CHAMPUS Foundation | CHAMPUS TriCare Prime/Extra | $449 |
| Cost Containment Strategies | Cost Containment Strategies PPO/EPO | $450 |
| Employee Health Systems Medical Group | Employee Health Systems PPO | $450 |
| Central Health Plan | Central Health Plan Manage Care Medi-Cal | $504 |
| Clinica Medica Familiar | Clinica Medica Familiar Medi Cal | $546 |
| Blue Cross of California | Blue Cross of CA | $922 |
| Bella Vista Medical Group IPA | Bella Vista Med Grp Medi Cal | $993 |
| Global Care Medical Group IPA | Global Care Med Grp Medi Cal | $993 |
| Alta Med Health Services Med Grp | Alta Med Health Services HMO/SR/Med | $1,242 |
| AHMC Reciprocity Agreement Senior/Commercial | AHMC Reciprocity Agreem | $1,490 |
| Good Samaritan Medical Practice Assoc | Good Samaritan Med Group Medi | $1,490 |
| Cigna Healthcare | Cigna HMO/PPO/Open Access/Network | $1,565 |
| Bella Vista Medical Group IPA | Bella Vista Med Grp Comm HMO/SR | $2,235 |
| Global Care Medical Group IPA | Global Care Med Grp HMO Comm/SR | $2,235 |
| Blue Cross of California | Blue Cross Out Of State FFS | $2,484 |
| Blue Shield of California | Blue Shield HMO Reciprocity | $2,484 |
Inpatient
$4,967cash price (self-pay)
$4,967list price
$2,484–$4,967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of California | Blue Cross Out Of State FFS | $2,484 |
| Blue Shield of California | Blue Shield HMO Reciprocity | $2,484 |
| In Custody Police Dept | In Custody Police Dept | $3,229 |
| UHC West Comm HMO | UHC West Comm HMO | $3,546 |
| UHC West PPO | UHC West PPO | $3,546 |
| Interplan | Interplan PPO | $3,725 |
| Multiplan | Multiplan PPO | $4,222 |
| United HealthCare | UHC PPO/All Payer Appendix | $4,264 |
| Health Payors Organization | Health Payors Organization PPO | $4,470 |
| Commercial Non Contract | Commercial Non Contract | $4,967 |
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