CT abdomen and pelvis with contrast at Mountains Community Hospital. CPT 74177.
What Mountains Community Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$2,259cash price (self-pay)
$5,647list price
$282–$4,800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Med Adv | $282 |
| Ccn | All Products | $368 |
| Blue Shield | Covered California | $710 |
| Blue Shield | HMO/POS/PPO | $788 |
| Blue Cross | All Products | $1,039 |
| Molina | Med Adv | $2,541 |
| Aetna | All Products | $2,704 |
| Aetna | Med Adv | $2,711 |
| Kaiser | All Products | $3,614 |
| Cigna | All Products | $3,953 |
| Usa | All Products | $4,235 |
| Healthnet | All Products | $4,549 |
| Phcs | All Products | $4,800 |
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