CT abdomen and pelvis with contrast at Loma Linda University Children's Hospital. CPT 74177.
What Loma Linda University Children's Hospital publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$1,785cash price (self-pay)
$5,684list price
$449–$6,291range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alpha Care Medical Group | Medicare Advantage/Dual Product | $449 |
| Dignity Health | Medicare Advantage | $449 |
| Inland Empire Health Plan (IEHP) | Medicare Advantage | $449 |
| Upland Medical Group | Pediatric | $449 |
| Vantage Medical Group | Senior | $449 |
| Inland Empire Health Plan (IEHP) | Medi-Cal | $473 |
| Alpha Care Medical Group | Medi-Cal | $494 |
| Dignity Health | Medi-Cal | $494 |
| EPIC Health Plan | Senior | $494 |
| Vantage Medical Group | Medi-Cal | $494 |
| Kaiser Foundation Hospitals | Medi-Cal | $535 |
| Molina Healthcare of CA | Medi-Cal | $565 |
| Molina Healthcare of CA | Medicare | $601 |
| Kaiser Foundation Hospitals | Medicare Advantage | $628 |
| Alpha Care Medical Group | Commercial/Exchange | $673 |
| Dignity Health | Commercial/Exchange | $673 |
| Vantage Medical Group | Commercial/Exchange | $673 |
| Heritage Provider Network | Commercial/Senior | $736 |
| EPIC Health Plan | Commercial | $740 |
| Adventist Health | Commercial | $1,137 |
| LLUH Dept of Risk Management | WC | $1,364 |
| United Healthcare | All Other Commercial | $1,486 |
| United Healthcare | All Other HMO | $1,486 |
| United Healthcare | HMO Rider | $1,486 |
| United Healthcare | Select/Navigate/Core | $1,486 |
| Aetna of CA | HMO/PPO | $2,754 |
| Blue Shield of California | Commercial | $2,823 |
| Global Benefits Group | Commercial | $3,410 |
| Temecula Valley Physicians Medical Group | Commercial | $3,410 |
| TriValley Medical Group | Commercial/Senior | $3,410 |
Inpatient
$3,330cash price (self-pay)
$7,401list price
$1,480–$6,291range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Adventist Health | Commercial | $1,480 |
| LLUH Dept of Risk Management | WC | $1,776 |
| EPIC Health Plan | Commercial | $2,960 |
| EPIC Health Plan | Senior | $2,960 |
| Kaiser Foundation Hospitals | Medicare Advantage | $4,367 |
| Global Benefits Group | Commercial | $4,441 |
| Kaiser Foundation Hospitals | Commercial/Self Funded | $4,700 |
| Networks By Design | Commercial | $4,811 |
| Emerging Therapy Solutions (LifeTrac) | Transplant | $5,181 |
| Multiplan | Commercial | $5,921 |
| Galaxy Health | WC | $6,291 |
| Prime Health Services | Commercial | $6,291 |
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All common services at Loma Linda University Children's Hospital