CT abdomen and pelvis with contrast at John Muir Health Behavioral Health Center. CPT 74177.
What John Muir Health Behavioral Health Center publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$1,987cash price (self-pay)
$4,416list price
$493–$3,533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield Medicare [1007113] | BCBS Medicare Adv PPO [100 | $493 |
| Alignment Health [1177113] | Sccipa-Alignment Health Plan [117711302] | $493 |
| Kaiser Medicare [1033113] | Kaiser Medicare Advantage [103311601] | $493 |
| Essence Healthcare [1049128] | Essence Healthcare Platinum HMO [104912 | $493 |
| Care 1st Health Plan [1094113] | Abmg-Care 1st Medicare Advantage [109 | $493 |
| United Behavioral Health Medicare [1048113] | Ubh Medicare Box 30757 [ | $493 |
| Jmpn United Healthcare [1640000002] | Mc Ben Bc Hp345cp [24184] | $513 |
| Blue Shield Medicare [1006113] | Hpmg-Blue Shield Medicare Advantage [ | $513 |
| Health Net Medicare [1028113] | Health Net Medicare Advantage-Other Me | $513 |
| United Healthcare-Network Mcare [1049127] | United Medicare Advantage- | $513 |
| Health Net Medicare [1028113] | Hpmg-Health Net Medicare Advantage [10 | $513 |
| Medicare Railroad [1082002] | Medicare Railroad [108200201] | $513 |
| Scan Medicare [1043113] | Scan Medicare Advantage-Other Medical Group | $513 |
| United Healthcare Medicare [1049113] | United Medicare Advantage HMO-O | $513 |
| Easy Choice Health Plan [1083113] | Hpmg-Easy Choice Medicare Advantag | $513 |
| Humana-Network Mcare [1030127] | Humana Medicare Advantage-Mmg [103012 | $513 |
| Western Health Advantage Medicare [1053113] | Western Health Medicare | $513 |
| Humana Medicare [1030113] | Hpmg-Humana Medicare Advantage [103011301] | $513 |
| Blue Shield Medicare [1006113] | Blue Shield Medicare Advantage-Other | $513 |
| Generic PPO [1021104] | PPO-Not Otherwise Specified [102110401] | $616 |
| Fortified Provider Network [1063104] | Fortified Provider Network [106 | $1,943 |
| Networks By Design [1084104] | Networks By Design [108410401] | $1,943 |
| Federal Correction Institute [1062104] | Federal Correction Institute | $1,943 |
| Health Management Network [1066104] | Health Management Network PPO [1 | $1,943 |
| Anthem Blue Cross-Network [1002026] | Anthem Blue Cross HMO-Mmg [10020 | $1,987 |
| Brms [1091104] | Benefit Risk Management Services [109110401] | $1,987 |
| Empire Plan [1092104] | Empire Plan [109210401] | $1,987 |
| Delta Health Systems [1032104] | Delta Health Systems-Anthem Blue Cros | $1,987 |
| Anthem Blue Cross PPO [1002104] | Anthem Doctors Medical Center [10021 | $1,987 |
| Healthcomp [1089104] | Healthcomp Prudent Buyer [108910401] | $1,987 |
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All common services at John Muir Health Behavioral Health Center