CT abdomen and pelvis with contrast at Northridge Hospital Medical Center. CPT 74177.
What Northridge Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$3,727cash price (self-pay)
$13,358list price
$282–$13,358range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Gold Coast Health Plan | Medicaid|All Plans | $282 |
| HCLA | Medicaid|Preferred IPA < 21 | $282 |
| HCLA | Medicaid|Preferred IPA > 21 | $282 |
| Kaiser | Medicaid|< 21 | $282 |
| Kaiser | Medicaid|> 21 | $282 |
| BCBS - Anthem | Medicaid|< 21 | $375 |
| BCBS - Anthem | Medicaid|> 21 | $375 |
| Health Net | Medicaid|< 21 | $378 |
| Health Net | Medicaid|> 21 | $378 |
| Molina | Medicaid|< 21 | $395 |
| Molina | Medicaid|> 21 | $395 |
| Central Health Plan | Commercial|All Plans | $454 |
| First Health | Commercial|All Plans | $454 |
| Humana | Commercial|All Plans | $454 |
| MHN | Commercial|All Plans | $454 |
| Aetna | Medicare|All Plans | $454 |
| BCBS - Anthem | Medicare|All Plans | $454 |
| Blue Shield CA | Medicare|All Other Plans | $454 |
| Central Health Plan | Medicare|All Plans | $454 |
| HCLA | Medicare|Preferred IPA | $454 |
| Health Net | Medicare|All Plans | $454 |
| LA Care | Commercial|All Plans | $567 |
| United | Commercial|All Other Plans | $828 |
| United | Commercial|HMO | $828 |
| Aetna | Commercial|All Other Plans | $899 |
| Aetna | Commercial|HMO | $899 |
| Aetna | Commercial|PPO | $899 |
| BCBS - Anthem | Commercial|Vivity | $1,001 |
| LA Care | Medicaid|All Plans | $1,293 |
| BCBS - Anthem | Commercial|All Other Plans | $1,383 |
Inpatient
$3,727cash price (self-pay)
$13,358list price
$10,686–$11,621range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MultiPlan | Commercial|All Plans | $10,686 |
| Healthsmart | Commercial|All Plans | $11,621 |
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