CT abdomen and pelvis with contrast at Hayward sisters hospital dba st rose hospital. CPT 74177.
What Hayward sisters hospital dba st rose hospital publishes for this service, straight from its standard-charges file, last updated February 23, 2026.
Outpatient / ER
$1,849cash price (self-pay)
$6,164list price
$288–$5,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Secure Horizons (Pacificare)/Affinity | $288 |
| Healthnet of California | Healthnet HMO/PPO/Affinity | $288 |
| Cigna Healthcare of California | Cigna/Affinity | $288 |
| United Healthcare | Secure Horizons (Pacificare)/Hill | $303 |
| Healthnet of California | Healthnet SR Advantage/Hill | $303 |
| Aetna Health Plans of California | Aetna Health Plan/Affinity | $343 |
| United Healthcare | United Healthcare PPO-POS-EPO/Pacificare of Califo | $348 |
| Healthnet of California | Healthnet HMO/PPO/Hill | $348 |
| Cigna Healthcare of California | Cigna/Hill | $348 |
| Aetna Health Plans of California | Aetna Health Plan/Hill | $416 |
| Healthnet of California | Healthnet SR Advantage/Affinity | $464 |
| Centers for Elder Independence | Centers for Elders | $471 |
| United Healthcare | Secure Horizons (Pacificare) | $488 |
| Healthnet of California | Healthnet SR Advantage | $488 |
| Medicare SR Advantage | Medicare SR Advantage | $496 |
| Imperial Health Senior | Imperial Health Senior | $496 |
| Humana | Humana Medicare Advantage | $496 |
| Brown & Toland | Brown Toland | $496 |
| Aetna Health Plans of California | Aetna Medicare PPO | $496 |
| Blue Cross of California | Blue Cross HMO/PPO/Hill | $561 |
| Blue Cross of California | Blue Cross HMO/PPO/Affinity | $561 |
| Blue Cross of California | Blue Cross HMO/PPO | $561 |
| Aetna Health Plans of California | Aetna Health Plan | $750 |
| Canopy | Canopy Commercial | $943 |
| Blue Shield Hill | Blue Shield Hill | $1,240 |
| Blue Shield Affinity | Blue Shield Affinity | $1,240 |
| Blue Shield | Blue Shield | $1,240 |
| Healthnet of California | Healthnet HMO/PPO | $4,250 |
| Interplan | Interplan | $4,314 |
| Cigna Healthcare of California | Cigna | $4,623 |
Inpatient
$1,849cash price (self-pay)
$6,164list price
$4,314–$4,746range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Interplan | Interplan | $4,314 |
| Multiplan Inc | Multiplan | $4,746 |
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All common services at Hayward sisters hospital dba st rose hospital