CT abdomen and pelvis with contrast at Mark Twain Medical Center. CPT 74177.
What Mark Twain Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,595cash price (self-pay)
$2,395list price
$282–$2,347range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|All Plans | $282 |
| California Health & Wellness | Medicaid|All Plans | $282 |
| Health Net | Medicaid|All Plans | $282 |
| Health Plan of San Joaquin | Medicaid|All Plans | $282 |
| Kaiser | Medicaid|All Plans | $282 |
| Aetna | Medicare|All Plans | $620 |
| BCBS - Anthem | Medicare|All Plans | $620 |
| Blue Shield CA | Medicare|All Plans | $620 |
| Care 1st | Medicare|All Plans | $620 |
| Health Net | Medicare|All Plans | $620 |
| Humana | Medicare|All Plans | $620 |
| Kaiser | Medicare|All Plans | $620 |
| Scan Health Plan | Medicare|All Plans | $620 |
| United | Medicare|All Plans | $620 |
| BCBS - Anthem | Commercial|Exchange | $1,470 |
| United | Commercial|Select | $1,626 |
| Blue Shield CA | Commercial|Exchange | $1,732 |
| Blue Shield CA | Commercial|HMO | $1,732 |
| Blue Shield CA | Commercial|PPO | $1,732 |
| First Health | Commercial|All Plans | $1,796 |
| United | Commercial|Choice | $1,863 |
| BCBS - Anthem | Commercial|All Other Plans | $1,885 |
| Health Net | Commercial|All Plans | $1,926 |
| Aetna | Commercial|All Other Plans | $1,957 |
| Aetna | Commercial|HMO | $1,957 |
| Aetna | Commercial|PPO | $1,957 |
| Kaiser | Commercial|All Plans | $2,036 |
| Cigna | Commercial|All Other Plans | $2,144 |
| Cigna | Commercial|PPO | $2,144 |
| United | Commercial|HMO | $2,199 |
Inpatient
$7,250cash price (self-pay)
$10,886list price
$5,893–$10,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Commercial|Exchange | $5,893 |
| United | Commercial|Select | $6,331 |
| Blue Shield CA | Commercial|Exchange | $6,967 |
| Blue Shield CA | Commercial|HMO | $6,967 |
| Blue Shield CA | Commercial|PPO | $6,967 |
| United | Commercial|Choice | $7,265 |
| BCBS - Anthem | Commercial|All Other Plans | $7,555 |
| Health Net | Commercial|All Plans | $8,132 |
| First Health | Commercial|All Plans | $8,165 |
| United | Commercial|HMO | $8,536 |
| Aetna | Commercial|All Other Plans | $8,894 |
| Aetna | Commercial|HMO | $8,894 |
| Aetna | Commercial|PPO | $8,894 |
| Kaiser | Commercial|All Plans | $9,253 |
| Cigna | Commercial|All Other Plans | $9,743 |
| Cigna | Commercial|PPO | $9,743 |
| Multiplan | Commercial|All Plans | $10,668 |
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