CT abdomen and pelvis with contrast at Providence St Joseph Hospital Orange. CPT 74177.
What Providence St Joseph Hospital Orange publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,159cash price (self-pay)
$4,064list price
$381–$2,955range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | Oscar All Commercial Plans | $381 |
| Aetna | Medicare Managed Care Plan | $449 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $470 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $529 |
| Unitedhealthcare | All Commercial Plans | $611 |
| Unitedhealthcare | Select/Navigate Hmo | $611 |
| Healthnet | Ambetter Hmo | $830 |
| Aetna | Gatekeeper Hmo | $1,409 |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,463 |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,955 |
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