CT abdomen and pelvis with contrast at Orange County Global Medical Center. CPT 74177.
What Orange County Global Medical Center publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$7,682cash price (self-pay)
$7,682list price
$282–$7,682range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Altamed Mcal HMO (Ancillary) | Altamed Mcal HMO (Ancillary) | $282 |
| Hollywood Presbyterian MCal | Hollywood Presbyterian MCal | $282 |
| Kaiser | Kaiser Medi-Cal HMO | $282 |
| State of California | Medi Cal/Medicaid | $282 |
| Medi-Cal HMO | Medi-Cal HMO/Non Contract | $282 |
| Brand New Day | Brand New Day/Medi-Cal | $338 |
| Monarch Health Plan | Monarch Health Plan/Covered California | $393 |
| AltaMed | AltaMed MCAL HMO | $395 |
| AltaMed MCAL PACE | AltaMed MCAL PACE | $395 |
| AltaMed | AltaMed Whole Child Model/Caloptima | $395 |
| CalOptima | CalOptima (Traditional and Adult Expansion) | $395 |
| CHOC Health Alliance | CHOC Health Alliance/CalOptima | $395 |
| Family Choice | Family Choice MCAL HMO | $395 |
| Heritage Provider Network | Heritage Provider Network Medi-Cal | $395 |
| County of Orange | Medical Safety Net | $395 |
| Monarch Health Plan | Monarch Health Plan/CalOptima | $395 |
| CHAMPUS Tricare | CHAMPUS Tricare Prime/Extra Standard | $431 |
| Champva | Champva | $431 |
| Cigna | Cigna HMO | $496 |
| Cigna | Cigna PPO | $496 |
| Aetna | Aetna All Commercial Payers | $713 |
| IHHI | IHHI Reciprocity | $1,000 |
| Health Net | Health Net/Salud Con Health/HMO/PPO/EPO | $2,200 |
| Heritage Provider Network | Heritage Provider Network HMO | $4,180 |
| Magellan Behavioral Health | Magellan Behavioral Health Comm | $4,609 |
| Magellan Behavioral Health | Magellan Behavioral Health SR | $4,609 |
| Health Net | Health Net Community Care HMO/PPO | $4,694 |
| Kaiser | Kaiser Commercial HMO | $4,731 |
| CIGNA | CIGNA/Outside Payors | $4,993 |
| Health Net | Health Net HMO/POS | $5,032 |
Inpatient
$7,682cash price (self-pay)
$7,682list price
$4,609–$7,682range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan Behavioral Health | Magellan Behavioral Health Comm | $4,609 |
| Magellan Behavioral Health | Magellan Behavioral Health SR | $4,609 |
| Kaiser | Kaiser Commercial HMO | $4,731 |
| CIGNA | CIGNA/Outside Payors | $4,993 |
| Multiplan | Multiplan PPO | $5,377 |
| First Health (Affordable) PPO | First Health (Affordable) PPO | $5,762 |
| HealthSmart | HEALTHSMART PREFERRED NETWORK | $5,762 |
| Interplan | Interplan PPO | $5,762 |
| CIGNA | CIGNA Behavioral Health | $6,146 |
| PNOA-Provider Network of America | PNOA-Provider Network of America | $6,146 |
| Prime Health Srvs | Prime Health Srvs/PPO | $6,146 |
| Prime Health Srvs | Prime Health Srvs/Network | $6,530 |
| Other Non Contracted Insurance Plans | Other Non Contracted Insurance | $7,682 |
| Private Pay | Private Pay | $7,682 |
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