CT abdomen and pelvis with contrast at Scripps Mercy Hospital Chula Vista. CPT 74177.
What Scripps Mercy Hospital Chula Vista 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 |
|---|---|
| Cigna [280] | Cigna HMO PPO | $207 |
| Cigna [280] | Cigna Localplus & Surefit | $207 |
| Optum Care Network - Sdpmg Mcr Adv [837] | Spmg | $258 |
| Scan [500] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| La Care Mcr Adv HMO [612] | Medicare HMO/PPO Shcv Shme | $449 |
| Community Health Group Medicare Advantage [312] | Medicare HMO/PPO W P | $449 |
| San Diego Pace Medicare Advantage HMO [554] | Medicare HMO/PPO W Pass | $449 |
| Village Health Medicare Advantage [592] | Medicare HMO/PPO Shcv Shme | $449 |
| St Paul'S Pace Medicare Advantage [552] | Medicare HMO/PPO W Pass Thru | $449 |
| Gpmg/Altura - Mcr Adv [888] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| Pcac Medicare Advantage [8001] | Medicare HMO/PPO W Pass Thru Shcv Shm | $449 |
| Sharp Health Plan Mcr Adv [531] | Medicare HMO/PPO Shcv Shme | $449 |
| San Diego Pace Medi-Cal [553] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| Astiva Mcr Adv [464] | Medicare HMO/PPO Shcv Shme | $449 |
| Clever Care Mcr Adv [465] | Medicare HMO/PPO Shcv Shme | $449 |
| Molina Medicare Advantage [462] | Medicare HMO/PPO W Pass Thru Shcv Sh | $449 |
| Alignment Health Plan [443] | Alignment Medicare Advantage Shcv Shme | $462 |
| Radys Cpmg [803] | Rady'S Children'S Medi-Cal HMO | $720 |
| Blue Shield [230] | Blue Shield Tandem PPO | $1,395 |
| Imperial County Phys Med Group [855] | Blue Shield HMO | $1,458 |
| Blue Shield [230] | Blue Shield HMO | $1,458 |
| Bs [816] | Blue Shield HMO | $1,458 |
| Blue Shield [230] | Blue Shield PPO | $1,512 |
| Blue Shield [230] | Blue Shield Covered CA | $1,512 |
| Bs [816] | Blue Shield PPO | $1,512 |
| Blue Cross Blue Shield [233] | Blue Cross HMO | $1,557 |
| Imperial County Phys Med Group [855] | Blue Cross HMO | $1,557 |
| Blue Cross Blue Shield [233] | Blue Cross PPO Non-Mcs | $1,557 |
| Hn [815] | Health Net HMO PPO | $1,602 |
| Centivo [581] | Centivo | $1,620 |
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