CT abdomen and pelvis with contrast at Rancho Los Amigos National Rehabilitation Center. CPT 74177.

What Rancho Los Amigos National Rehabilitation 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
[Medicare Advantage] \| [Kaiser]	$419
[Medicare Advantage] \| [L.A. Care]	$419
[Covered California] \| [L.A. Care]	$419
[Medi-Cal Managed Care] \| [Anthem Blue Cross]	$437
[Medi-Cal Managed Care] \| [Kaiser]	$445
[Medicare Advantage] \| [Molina]	$482
[Medi-Cal Managed Care] \| [L.A. Care]	$515
[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
[Commercial] \| [Health Net]	$838

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All common services at Rancho Los Amigos National Rehabilitation Center