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CT abdomen and pelvis with contrast at Memorial Hospital of Gardena. CPT 74177.

What Memorial Hospital of Gardena publishes for this service, straight from its standard-charges file, last updated February 4, 2026.

Outpatient / ER

$7,367cash price (self-pay)
$7,367list price
$287–$5,893range insurers pay
Insurance planNegotiated rate
Blue Cross | Medi-Cal$287
OmniCare Medical Group | HMO$466
AltaMed Health Network | HMO$481
America's Health Network | HMO$481
Blue Cross | Medicare Advantage$481
Choice Care/Humana | Medicare Advantage$481
LA Care | Covered California$481
Heritage Provider Network | All Commercial Plans$505
Santa Monica Unite Here Health Benefit Trust Fund | All Plans$505
Brand New Day | All Commercial Plans$529
Bright Health | All Commercial Plans$529
Providence Health Network/Oscar | EPO$529
United Healthcare | All Plans$591
Optum Health Plan of California | HMO$601
Health Net/Ambetter | PPO/Covered California$603
Central Health Plan | HMO$625
Health Net Salud | HMO/PPO/EPO$658
Blue Shield | HMO/PPO$721
Health Net/Ambetter | HMO$740
Cigna | HMO/PPO$749
Health Net | HMO/PPO$755
Prime Health Services | HMO/PPO$961
Provider Network of America | PPO$961
Blue Cross | HMO/PPO$4,993
Affiliated Health Funds | PPO$5,525
HealthSmart Preferred Care | All Commercial Plans$5,525
Multiplan/PHCS | All Plans$5,746
Admar Corporation | All Plans$5,893
Pacific Health Alliance | PPO$5,893
Three Rivers Provider Network | All Commercial Plans$5,893

Inpatient

$7,367cash price (self-pay)
$7,367list price
$5,525–$5,893range insurers pay
Insurance planNegotiated rate
HealthSmart Preferred Care | All Commercial Plans$5,525
Multiplan/PHCS | All Plans$5,746
Admar Corporation | All Plans$5,893
Pacific Health Alliance | PPO$5,893
Three Rivers Provider Network | All Commercial Plans$5,893
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All common services at Memorial Hospital of Gardena