CT abdomen and pelvis with contrast at San Gorgonio Memorial Hospital. CPT 74177.
What San Gorgonio Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 20, 2026.
Outpatient / ER
$2,316cash price (self-pay)
$11,785list price
$225–$1,340range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Epic Management | Commercial | $225 |
| Redlands Community Hospital | Commercial | $253 |
| LaSalle Medical Associates | Commercial/Senior | $424 |
| Anthem Blue Cross | Medicare Advantage | $447 |
| Beaver Medical Group | Commercial | $447 |
| Blue Shield | Medicare Advantage | $447 |
| Choice Physicians Network | Commercial | $447 |
| Inland Empire Health Plan | Medicare Advantage | $447 |
| Kaiser | Medicare | $447 |
| Providence Health Network | Medicare Advantage | $447 |
| Redlands Community Hospital | Medicare Advantage | $447 |
| United Healthcare | Medicare Advantage | $447 |
| Easy Choice Health Plan | Medicare Advantage | $469 |
| Epic Management | Medicare Advantage | $469 |
| Inland Empire Health Plan | Covered California | $491 |
| Velocity | Medicare Advantage | $491 |
| Imperial Health Plan | Commercial | $505 |
| Health Net | Ambetter HMO | $571 |
| Health Net | Commercial | $628 |
| Health Net | Ambetter PPO | $639 |
| Heritage Provider Network | Commercial | $931 |
| Heritage Provider Network | Senior | $931 |
| Kaiser | Commercial | $1,340 |
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