CT abdomen and pelvis with contrast at Mercy San Juan Medical Center. CPT 74177.

What Mercy San Juan Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$2,567cash price (self-pay)

$9,367list price

$247–$7,775range insurers pay

Insurance plan	Negotiated rate
Hill Physicians \| Commercial\|All Plans	$247
United \| Medicaid\|< 21	$282
United \| Medicaid\|> 21	$282
Hill Physicians \| Medicaid\|All Plans	$310
BCBS - Anthem \| Medicare\|All Other Plans	$443
Humana \| Commercial\|All Plans	$469
Aetna \| Medicare\|All Plans	$469
Blue Shield CA \| Medicare\|HMO	$469
Blue Shield CA \| Medicare\|PPO	$469
Humana \| Medicare\|All Plans	$469
Kaiser \| Medicare\|All Plans	$469
BCBS - Anthem \| Medicare\|Imperial	$483
BrightHealth \| Commercial\|All Plans	$516
Molina \| Medicaid\|All Plans	$530
BCBS - Anthem \| Medicaid\|All Plans	$535
BlueShield \| Medicare\|Trauma	$587
California Health & Wellness \| Medicaid\|All Plans	$645
Health Net \| Medicaid\|All Plans	$645
Prison Healthcare \| Medicaid\|All Plans	$704
United \| Commercial\|All Other Plans	$828
United \| Commercial\|HMO	$828
United \| Commercial\|Non-Options PPO	$828
United \| Commercial\|Options PPO	$828
Aetna \| Commercial\|All Other Plans	$869
Aetna \| Commercial\|HMO	$869
Aetna \| Commercial\|PPO	$869
WCMG \| Commercial\|All Plans	$1,030
Partnership Health Plan \| Medicaid\|All Plans	$1,212
BCBS - Anthem \| Commercial\|Connection EPO	$1,638
BCBS - Anthem \| Commercial\|All Other Plans	$2,047

$2,567cash price (self-pay)

$9,367list price

$1,030–$7,775range insurers pay

Insurance plan	Negotiated rate
WCMG \| Commercial\|All Plans	$1,030
First Health \| Commercial\|All Plans	$7,025
Healthsmart \| Commercial\|All Plans	$7,025
Sutter Health \| Commercial\|All Plans	$7,494
MultiPlan \| Commercial\|All Plans	$7,775

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.