CT abdomen and pelvis with contrast at San Antonio Regional Hospital. CPT 74177.
What San Antonio Regional Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$1,243cash price (self-pay)
$19,755list price
$404–$36,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $404 |
| Primecare Optum Senior | Primecare Optum Senior | $420 |
| Kaiser Medi-Cal | Kaiser Medi-Cal | $424 |
| Healthnet Medi-Cal | Healthnet Medi-Cal | $426 |
| Alpha Care Mg Mcal/Hlthy Kids | Alpha Care Mg Mcal/Hlthy Kids | $445 |
| Choice Phycn Ntwrk Mcr Adv-All Other Plans | Choice Phycn Ntwrk Mcr Ad | $449 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $449 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $449 |
| Iehp Mcr Adv | Iehp Mcr Adv | $449 |
| Molina Mcr Adv | Molina Mcr Adv | $449 |
| Universal Care - All Plans | Universal Care - All Plans | $449 |
| Zelis Mcr Adv | Zelis Mcr Adv | $471 |
| Anthem Medi-Cal | Anthem Medi-Cal | $477 |
| PC Inland Valley Scan | PC Inland Valley Scan | $481 |
| PC Inland Valley-All Other Plans | PC Inland Valley-All Other Plans | $481 |
| Imperial Health Mcr Adv-All Plans | Imperial Health Mcr Adv-All Plans | $494 |
| Choicecare Ntwrk-All Plans | Choicecare Ntwrk-All Plans | $550 |
| Molina Exchange-All Other Plans | Molina Exchange-All Other Plans | $583 |
| Aetna Ifp | Aetna Ifp | $606 |
| Aetna/Whole Health - All Other Plans | Aetna/Whole Health - All Other | $639 |
| Iehp Comm - All Other Plans | Iehp Comm - All Other Plans | $651 |
| Redlands HMO-All Other Plans | Redlands HMO-All Other Plans | $700 |
| Healthnet - All Other Plans | Healthnet - All Other Plans | $1,074 |
| UHC - All Other Plans | UHC - All Other Plans | $1,345 |
| Epic Health Plan - All Other Plans | Epic Health Plan - All Other Plan | $5,927 |
| Networks By Design - All Plans | Networks By Design - All Plans | $8,574 |
| Anthem Blue Cross Exchg | Anthem Blue Cross Exchg | $8,643 |
| Anthem Blue Cross - All Other Plans | Anthem Blue Cross - All Other Pl | $10,737 |
| Zelis Comm-All Other Plans | Zelis Comm-All Other Plans | $14,816 |
| Interplan - All Plans | Interplan - All Plans | $17,780 |
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