CT abdomen and pelvis with contrast at MemorialCare Saddleback Medical Center. CPT 74177.
What MemorialCare Saddleback Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$10,055cash price (self-pay)
$10,055list price
$292–$3,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Medicare Managed Care Plan | $292 |
| Seoul Medical Group | Ipa All Commercial Plans | $404 |
| Blue Shield | Medicare Managed Care Plan | $440 |
| Aetna | Senior Medicare Managed Care Plan | $449 |
| Unitedhealthcare | All Payer Other Commercial Plan | $458 |
| Unitedhealthcare | Non-Preferred Hmo | $458 |
| Unitedhealthcare | Preferred Hmo | $458 |
| Blue Cross | Anthem Vivity City Other Commercial Plan | $470 |
| Easy Choice | Senior Medicare Managed Care Plan | $471 |
| Central Health | Senior Medicare Managed Care Plan | $494 |
| Blue Cross | Anthem Vivity Non-City Other Commercial Plan | $529 |
| Clever Care | Medicare Managed Care Plan | $538 |
| Monarch Health Plan | Onecare Medicare Managed Care Plan | $561 |
| Select Health | Hmo | $606 |
| Monarch Health Plan | Covered California Other Commercial Plan | $864 |
| Blue Cross | Anthem Hmo Exchange | $885 |
| Centivo | Ppo | $1,010 |
| Cigna | Select Hmo | $1,039 |
| Monarch Health Plan | Other Commercial Plan | $1,041 |
| Cigna | Value Hmo | $1,184 |
| Blue Cross | Anthem Non-Mcs Other Commercial Plan | $1,361 |
| Cigna | All Commercial Plans | $1,537 |
| Blue Cross | Anthem Mcs Other Commercial Plan | $1,633 |
| Blue Shield | Trio Other Commercial Plan | $2,239 |
| Blue Shield | Epn/Covered Ca Other Commercial Plan | $2,556 |
| Blue Shield | Hmo/Pos | $2,567 |
| Blue Shield | Tandem Ppo Other Commercial Plan | $2,845 |
| Blue Shield | Ppo/Epo | $3,426 |
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All common services at MemorialCare Saddleback Medical Center