CT abdomen and pelvis with contrast at Seton Medical Center. CPT 74177.
What Seton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$9,050cash price (self-pay)
$9,050list price
$88.52–$9,050range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of California | Blue Cross Medi-Cal | $88.52 |
| Health Plan of San Mateo Healthworx | Health Plan of San Mateo Healthw | $250 |
| Kaiser | Kaiser Medi-Cal | $282 |
| CMAC | Medi-Cal | $282 |
| Medi-Cal | Medi-Cal HMO Non-Contract | $282 |
| Health Plan of San Mateo | Health Plan of San Mateo | $284 |
| Hill Physicians Medical Group Inc | Hill Physicians Medical Group Comm | $288 |
| Hill Physicians Medical Group Inc | Hill Physicians Medical Group Medi | $301 |
| Asian American Medical Group | All American Medical Group Medi-Cal | $338 |
| San Mateo County/San Mateo County General Hospital | San Mateo County | $347 |
| Brown and Toland Medical Group | Brown and Toland Medical Group Medi-C | $352 |
| North East Medical Services | North East Medical Services Medi-Cal Man | $395 |
| San Francisco Health Plan | San Francisco Health Plan | $395 |
| Jade Health Care MG | Jade Health Care Commercial | $418 |
| Jade Health Care MG | Jade Health Care Medi-Cal | $423 |
| Aetna US Healthcare of California Inc | Aetna HMO/PPO/EPO/MC/POS | $847 |
| Blue Shield of California | BLUE SHIELD COVERED CA | $2,208 |
| Self Pay | Self Pay | $3,077 |
| Anthem Blue Cross | Anthem Blue Cross Priority Select HMO | $3,124 |
| Anthem Blue Cross | Anthem Blue Cross Select HMO | $3,346 |
| Blue Cross of California | Blue Cross Non-MCS | $3,764 |
| Blue Cross of California | Blue Cross Out of State | $3,764 |
| Blue Shield of California | Blue Shield HMO | $3,926 |
| Blue Shield of California | Blue Shield PPO | $3,926 |
| Chinese Community Health Plan | CCHP Commercial (Full-Risk) | $4,244 |
| Health Net | Health Net HMO/PPO/POS/EPO | $4,298 |
| Blue Cross of California | Blue Cross MCS | $4,699 |
| CIGNA Healthcare of California | CIGNA HMO | $5,181 |
| Interplan Corporation | Interplan | $5,430 |
| Cigna | Cigna PPO | $5,759 |
Inpatient
$5,430cash price (self-pay)
$9,050list price
$1,358–$9,050range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $1,358 |
| Kaiser | Kaiser Commercial | $7,421 |
| ChoiceCare Network | Choice Care Humana PPO | $7,693 |
| Multiplan | Multiplan PPO Complementary Network | $7,693 |
| Mills Peninsula Health Services | Mills Peninsula Commercial | $8,145 |
| Indemnity | Indemnity | $9,050 |
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