CT abdomen and pelvis with contrast at Scripps Mercy Hospital San Diego. CPT 74177.
What Scripps Mercy Hospital San Diego 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 |
|---|---|
| Ocn Mcr Adv [890] | Pcamg/Optum Care Network | $202 |
| Mpmg [800] | Mpmg | $202 |
| Chg Optum Care Network - Sdpmg [805] | Spmg | $258 |
| Astiva Mcr Adv [464] | Medicare HMO/PPO Shcv Shme | $449 |
| San Diego Pace Medicare Advantage HMO [554] | Medicare HMO/PPO W Pass | $449 |
| Sharp Health Plan Mcr Adv [531] | Medicare HMO/PPO Shcv Shme | $449 |
| La Care Mcr Adv HMO [612] | Medicare HMO/PPO Shcv Shme | $449 |
| Bs Mcr Adv [829] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| Family Health Centers Pace Mcr Adv HMO [556] | Medicare HMO/PPO Shcv S | $449 |
| Sharp Comm Med Grp Mcr Adv [840] | Medicare HMO/PPO Shcv Shme | $449 |
| St Paul'S Pace Medicare Advantage [552] | Medicare HMO/PPO W Pass Thru | $449 |
| Community Health Group Medicare Advantage [312] | Medicare HMO/PPO W P | $449 |
| Uh Mcr Adv [831] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| Bc Mcr Adv [830] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| Kaiser Medicare Adv [874] | Kaiser Medicare Shme | $449 |
| Ucsd Mcr Adv [873] | Medicare HMO/PPO Shcv Shme | $449 |
| Dsnp/Csnp - Generic [458] | Medicare HMO/PPO Shcv Shme | $449 |
| Scan Mcr Adv [835] | Medicare HMO/PPO W Pass Thru Shcv Shme | $449 |
| Molina Medicare Advantage [462] | Medicare HMO/PPO W Pass Thru Shcv Sh | $449 |
| Integrated Health Partners - Mcr Adv [895] | Medicare HMO/PPO W Pass T | $449 |
| Health Net Medicare Advantage [342] | Medicare HMO/PPO W Pass Thru Shc | $449 |
| Alignment Health Plan [443] | Alignment Medicare Advantage Shcv Shme | $462 |
| Mc Health Net [904] | Shps Shcv Shme | $540 |
| Mc Cigna [903] | Shps Shcv Shme | $540 |
| Health Net [340] | Ambetter HMO Commcare Clin/Co Shcv Shme | $713 |
| Radys Cpmg [803] | Rady'S Children'S Medi-Cal HMO | $720 |
| Health Net [340] | Ambetter PPO/Enhanced PPO Shlj | $808 |
| Health Net [340] | Ambetter HMO Comm Care Shcv Shme | $835 |
| Health Net [340] | Health Net Salud Shcv Shme | $1,122 |
| Imperial County Phys Med Group [855] | Blue Shield HMO | $1,458 |
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