CT abdomen and pelvis with contrast at Oak Valley Hospital. CPT 74177.
What Oak Valley Hospital publishes for this service, straight from its standard-charges file, last updated July 17, 2026.
Outpatient / ER
$6,655cash price (self-pay)
$8,873list price
$404–$7,986range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Medi-Cal Ip/Op Only | Blue Cross Medi-Cal Ip/Op Only | $404 |
| Healthnet Medi-Cal Ip/Op Only | Healthnet Medi-Cal Ip/Op Only | $404 |
| Medi-Cal Ip/Op Only | Medi-Cal Ip/Op Only | $404 |
| Kaiser Medi-Cal Ip/Op Only | Kaiser Medi-Cal Ip/Op Only | $404 |
| Humana Mcr Adv Op Only Ip/Op Only-All Plans | Humana Mcr Adv Op Only I | $449 |
| Kaiser Mcr Adv Ip/Op Only | Kaiser Mcr Adv Ip/Op Only | $449 |
| Alignment Op Only Ip/Op Only-All Plans | Alignment Op Only Ip/Op Only- | $449 |
| Scan Health Plan Ip/Op Only-All Plans | Scan Health Plan Ip/Op Only-Al | $458 |
| Hp Of San Joaquin Ip/Op Only-All Plans | Hp Of San Joaquin Ip/Op Only- | $485 |
| Imperial Health Ip/Op Only-All Plans | Imperial Health Ip/Op Only-All | $494 |
| Blue Shield Epn Ip/Op Only | Blue Shield Epn Ip/Op Only | $4,058 |
| Healthnet Comm Op Only Ip/Op Only-All Other Plans | Healthnet Comm Op | $5,146 |
| Kaiser Comm Ip/Op Only-All Other Plans | Kaiser Comm Ip/Op Only-All Ot | $5,501 |
| Blue Cross/Jbt Ip/Op Only - All Other Plans | Blue Cross/Jbt Ip/Op Onl | $5,767 |
| Blue Shield/Bcout Ip/Op Only-All Other Plans | Blue Shield/Bcout Ip/Op | $5,856 |
| Cigna Ip/Op Only-All Plans | Cigna Ip/Op Only-All Plans | $5,945 |
| Blue Cross Bcla Ip/Op Only | Blue Cross Bcla Ip/Op Only | $5,945 |
| Blue Cross Labor/Oth Ip/Op Only | Blue Cross Labor/Oth Ip/Op Only | $5,945 |
| UHC Comm Ip/Op Only-All Plans | UHC Comm Ip/Op Only-All Plans | $6,211 |
| Blue Cross Ovhd Ip/Op Only | Blue Cross Ovhd Ip/Op Only | $6,655 |
| Aetna Ip/Op Only-All Plans | Aetna Ip/Op Only-All Plans | $7,551 |
| Anthem Bc California Care | Anthem Bc California Care | $7,986 |
| Anthem Bc Ffs | Anthem Bc Ffs | $7,986 |
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