CT abdomen and pelvis with contrast at Sharp Chula Vista Medical Center. CPT 74177.
What Sharp Chula Vista Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,994cash price (self-pay)
$6,658list price
$1.00–$5,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Medicare | $1.00 |
| Epic Americas | AXA Assistance | $1.00 |
| Multiplan | Multiplan | $1,977 |
| Allianz Global Assistance | AZGA Services Canada | $2,264 |
| Blue Cross | Blue Cross - MCS | $3,196 |
| Cigna | Cigna - PPO | $3,362 |
| Blue Shield | Blue Shield - PPO | $3,762 |
| Health Net | Health Net Individual - HMO | $4,061 |
| Interplan | Interplan | $4,228 |
| Molina | Molina - Cal Medi-Connect | $4,228 |
| Community Health Group | Community Health Group - Medi-Cal | $4,248 |
| Aetna | Aetna - HMO/POS | $4,248 |
| United Healthcare | United Healthcare - PPO | $4,361 |
| Health Net | Health Net - Medicare | $4,368 |
| Health Net | Health Net - HMO/POS/EPO | $4,527 |
| Health Net | Health Net - PPO | $4,527 |
| Molina | Molina Medi-Cal | $4,527 |
| Health Net | Health Net Individual - EPO | $4,661 |
| Molina | Molina - Exchange | $4,661 |
| Aetna | First Health Medicare | $4,661 |
| Blue Cross | Blue Cross - HMO | $4,994 |
| Humana | Choice Care Network | $4,994 |
| Blue Cross | Blue Cross - Prudent Buyer | $4,994 |
| Managed Health Network | MHN - Medicare | $5,326 |
Inpatient
$4,994cash price (self-pay)
$6,658list price
$999–$5,460range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross - HMO | $999 |
| Medicare | Medicare | $1,977 |
| Blue Shield | Blue Shield - HMO | $2,264 |
| Aetna | First Health Medicare | $2,631 |
| Medi-Cal | Medi-Cal | $2,796 |
| California Health and Wellness | California Health and Wellness | $3,196 |
| Health Net | Health Net Individual - EPO | $3,362 |
| Blue Cross | Blue Cross - PPO | $3,662 |
| United Healthcare | United Healthcare - HMO | $3,995 |
| United Healthcare | United Healthcare - Medicare | $3,995 |
| Health Net | Health Net Cal MediConnect | $4,494 |
| Multiplan | Multiplan | $4,494 |
| Health Net | Health Net - PPO | $4,527 |
| Molina | Molina Medi-Cal | $4,527 |
| Blue Cross | Blue Cross - Prudent Buyer | $4,661 |
| Humana | Choice Care Network | $5,127 |
| Kaiser | Kaiser - HMO | $5,127 |
| Aetna | Aetna - PPO | $5,460 |
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