CT abdomen and pelvis with contrast at Orchard Hospital. CPT 74177.
What Orchard Hospital publishes for this service, straight from its standard-charges file, last updated September 26, 2026.
Outpatient / ER
$197cash price (self-pay)
$3,605list price
$85.16–$3,334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $343 |
| Blue Cross Mcal | Blue Cross Mcal | $346 |
| CA Health And Wellness-All Plans | CA Health And Wellness-All Plans | $353 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $511 |
| Blue Cross-All Other Plans | Blue Cross-All Other Plans | $2,192 |
| Aetna-All Plans | Aetna-All Plans | $2,523 |
| Cigna-All Plans | Cigna-All Plans | $2,605 |
| Blue Shield-All Plans | Blue Shield-All Plans | $2,822 |
| UHC-All Plans | UHC-All Plans | $3,334 |
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