CT abdomen and pelvis with contrast at Sequoia Hospital. CPT 74177.

What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$5,222cash price (self-pay)

$14,347list price

$282–$11,765range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|< 21	$282
BCBS - Anthem \| Medicaid\|> 21	$282
Kaiser \| Medicaid\|< 21	$282
Kaiser \| Medicaid\|> 21	$282
Partnership Health Plan \| Medicaid\|< 21	$282
Partnership Health Plan \| Medicaid\|> 21	$282
Health Net \| Medicaid\|< 21	$347
Health Net \| Medicaid\|> 21	$347
Health Plan San Mateo \| Medicaid\|< 21	$347
Health Plan San Mateo \| Medicaid\|> 21	$347
Brown Toland \| Medicare\|All Plans	$431
Health Net \| Commercial\|Canopy Health	$524
Humana \| Commercial\|All Plans	$524
Aetna \| Medicare\|All Plans	$524
BCBS - Anthem \| Medicare\|All Plans	$524
Blue Shield CA \| Medicare\|All Plans	$524
Chinese Community \| Medicare\|All Plans	$524
Health Net \| Medicare\|All Plans	$524
Health Plan San Mateo \| Medicare\|All Plans	$524
Humana \| Medicare\|All Plans	$524
Kaiser \| Medicare\|All Plans	$524
United \| Medicare\|All Plans	$524
Brown Toland \| Commercial\|All Plans	$576
United \| Commercial\|All Other Plans	$828
United \| Commercial\|HMO	$828
United \| Commercial\|Options PPO	$828
Aetna \| Commercial\|All Plans	$1,390
BCBS - Anthem \| Commercial\|All Other Plans	$1,442
Sutter Health \| Commercial\|All Plans	$1,639
Cigna \| Commercial\|All Plans	$2,429

$5,222cash price (self-pay)

$14,347list price

$6,169–$11,765range insurers pay

Insurance plan	Negotiated rate
Connected Care \| Commercial\|Intel	$6,169
Healthsmart \| Commercial\|All Plans	$9,756
Kaiser \| Commercial\|All Plans	$11,047
Multiplan \| Commercial\|All Plans	$11,765

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