CT abdomen and pelvis with contrast at Petaluma Valley Hospital. CPT 74177.
What Petaluma Valley Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,283cash price (self-pay)
$11,347list price
$470–$2,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthnet | Medicare Managed Care Plan | $470 |
| Aetna | Medicare Managed Care Plan | $480 |
| Unitedhealthcare | All Commercial Plans | $611 |
| Unitedhealthcare | Select/Navigate Hmo | $611 |
| Aetna | All Commercial Plans | $1,372 |
| Blue Cross | Epo Exchange | $1,557 |
| Blue Cross | Nonmcs All Commercial Plans | $1,865 |
| Blue Cross | Mcs All Commercial Plans | $2,239 |
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