CT abdomen and pelvis with contrast at Scripps Memorial Hospital La Jolla. CPT 74177.
What Scripps Memorial Hospital La Jolla publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$2,250cash price (self-pay)
$9,000list price
$202–$7,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum Care Network North County Sd [808] | Pcamg/Optum Care Network | $202 |
| Molina Medicare Advantage [462] | Medicare HMO/PPO W Pass Thru Shlj | $449 |
| Optum Health Mcr Adv [865] | Medicare HMO/PPO Shlj | $449 |
| Gpmg/Altura - Mcr Adv [888] | Medicare HMO/PPO W Pass Thru Shlj | $449 |
| Cigna Medicare Advantage [281] | Medicare HMO/PPO Shlj | $449 |
| Pcac Medicare Advantage [8001] | Medicare HMO/PPO W Pass Thru Shlj | $449 |
| Easy Choice Medicare Advantage [322] | Medicare HMO/PPO W Pass Thru Sh | $449 |
| Optum Health Mcr Adv [491] | Medicare HMO/PPO Shlj | $449 |
| San Diego Pace Medicare Advantage HMO [554] | Medicare HMO/PPO W Pass | $449 |
| Clever Care Mcr Adv [465] | Medicare HMO/PPO Shlj | $449 |
| Sharp Health Plan Mcr Adv [531] | Medicare HMO/PPO Shlj | $449 |
| Inland Empire Health Plan Medicare Advantage HMO [457] | Medicare HMO/ | $449 |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | Medicare HMO/PPO Shlj | $449 |
| St Paul'S Pace Medicare Advantage [552] | Medicare HMO/PPO W Pass Thru | $449 |
| Humana Mcr Adv [871] | Medicare HMO/PPO Shlj | $449 |
| Community Health Group Medicare Advantage [312] | Medicare HMO/PPO W P | $449 |
| Gary And Mary West Pace Medi-Cal HMO [557] | Medicare HMO/PPO Shlj | $449 |
| Dsnp/Csnp - Generic [458] | Medicare HMO/PPO Shlj | $449 |
| Bs Mcr Adv [829] | Medicare HMO/PPO W Pass Thru Shlj | $449 |
| D-Snp Mcr Adv [889] | Medicare HMO/PPO Shlj | $449 |
| Uh Palomar Health Mcr Adv [885] | Medicare HMO/PPO W Pass Thru Shlj | $449 |
| Family Health Centers Pace Medi-Cal [555] | Medicare HMO/PPO Shlj | $449 |
| Mc Blue Cross [901] | Shps Shlj | $540 |
| Mc Blue Shield [902] | Shps Shlj | $540 |
| Health Net [340] | Ambetter HMO/Commcare Clin/Co Shlj | $713 |
| Prime Healthcare [614] | Prime Healthcare Services Shlj | $763 |
| Health Net [340] | Ambetter PPO/Enhanced PPO Shlj | $808 |
| Health Net [340] | Ambetter HMO Comm Care Shlj | $835 |
| Health Net [340] | Health Net Salud Shlj | $1,122 |
| Imperial County Phys Med Group [855] | Blue Shield HMO | $1,458 |
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