CT abdomen and pelvis with contrast at Olive View-UCLA Medical Center. CPT 74177.
What Olive View-UCLA Medical Center publishes for this service, straight from its standard-charges file, last updated March 12, 2026.
Outpatient / ER
—cash price (self-pay)
$2,070list price
$89.07–$2,070range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| [Commercial] | [Anthem Blue Cross] | $152 |
| [Commercial] | [Blue Shield Triwest] | $254 |
| [Medi-Cal Managed Care] | [Kaiser] | $404 |
| [Medicare Advantage] | [Kaiser] | $419 |
| [Medicare Advantage] | [L.A.Care] | $419 |
| [Covered California] | [L.A. Care] | $419 |
| [Medi-Cal Managed Care] | [Anthem Blue Cross] | $437 |
| [Medicare Advantage] | [Molina] | $482 |
| [Medi-Cal Managed Care] | [L.A. Care Term Jan 2026-Jun 2026] | $505 |
| [Medi-Cal Managed Care] | [L.A. Care Term Jul 2026-Dec 2026] | $525 |
| [Medi-Cal Managed Care] | [Blue Shield Promise] | $566 |
| [Medi-Cal Managed Care] | [Health Net] | $586 |
| [Medi-Cal Managed Care] | [Molina] | $618 |
| [Covered California] | [Molina] | $754 |
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