CT abdomen and pelvis with contrast at Mayers Memorial Hospital District. CPT 74177.
What Mayers Memorial Hospital District publishes for this service, straight from its standard-charges file, last updated May 12, 2026.
Outpatient / ER
$245cash price (self-pay)
$2,140list price
$80.90–$2,140range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $325 |
| Blue Shield CA Va | Blue Shield CA Va | $711 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $711 |
| Blue Shield Tricare | Blue Shield Tricare | $747 |
| Health Net Mcr Adv | Health Net Mcr Adv | $749 |
| Arcadian Health Services-All Plans | Arcadian Health Services-All Plan | $751 |
| Imperial Health Plan-All Plans | Imperial Health Plan-All Plans | $846 |
| Cigna-All Plans | Cigna-All Plans | $1,133 |
| Corvel PPO-All Plans | Corvel PPO-All Plans | $1,133 |
| Coventry/First Health-All Plans | Coventry/First Health-All Plans | $1,133 |
| Integrated Hp-All Plans | Integrated Hp-All Plans | $1,133 |
| Interplan-All Plans | Interplan-All Plans | $1,133 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $1,426 |
| Health Net Prison | Health Net Prison | $1,539 |
| Partnership Hp-All Plans | Partnership Hp-All Plans | $1,617 |
| Blue Cross Exchange | Blue Cross Exchange | $1,647 |
| Blue Cross-All Other Plans | Blue Cross-All Other Plans | $1,829 |
| Blue Shield CA Exchange | Blue Shield CA Exchange | $1,829 |
| Blue Shield-All Other Plans | Blue Shield-All Other Plans | $2,033 |
| Superior CA-All Plans | Superior CA-All Plans | $2,033 |
| Hmn-All Plans | Hmn-All Plans | $2,033 |
| Multiplan Phcs-All Plans | Multiplan Phcs-All Plans | $2,033 |
| Pfmc-All Plans | Pfmc-All Plans | $2,033 |
| Health Net-All Other Plans | Health Net-All Other Plans | $2,129 |
| Pacificare-All Plans | Pacificare-All Plans | $2,140 |
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