CT abdomen and pelvis with contrast at Sharp Grossmont Hospital. CPT 74177.
What Sharp Grossmont Hospital 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
$0.61–$5,460range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | Blue Shield - PPO | $0.61 |
| Cigna | Cigna - PPO | $1.00 |
| Molina | Molina - Exchange | $1.10 |
| County Medical Services | County of San Diego | $1.10 |
| California Health and Wellness | California Health and Wellness | $1.15 |
| Blue Shield | Blue Shield - Promise | $1,977 |
| Medicare | Medicare | $2,031 |
| Indian Health Council | Indian Health Council | $2,031 |
| Blue Cross | Blue Cross - Prudent Buyer | $3,196 |
| Community Health Group | Community Health Group - Cal Mediconnect | $3,762 |
| Aetna | First Health - Leased/CCN | $3,995 |
| United Healthcare | United Healthcare - PPO | $3,995 |
| Medi-Cal | Medi-Cal | $4,061 |
| Health Net | Health Net - Medi-Cal | $4,061 |
| Health Net | Health Net Individual - HMO | $4,061 |
| Aetna | First Health - Direct | $4,248 |
| United Healthcare | United Healthcare - HMO | $4,417 |
| Aetna | Aetna - PPO | $4,417 |
| Aetna | Aetna - HMO/POS | $4,661 |
| Health Net | Health Net - Medicare | $4,661 |
| Blue Cross | Blue Cross - Standard | $4,661 |
| Health Net | Health Net - HMO/POS/EPO | $4,661 |
| Molina | Molina Medi-Cal | $5,460 |
Inpatient
$4,994cash price (self-pay)
$6,658list price
$421–$5,127range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | First Health - Direct | $421 |
| Health Net | Health Net Cal MediConnect | $932 |
| Aetna | Aetna - PPO | $1,864 |
| Allianz Global Assistance | AZGA Services Canada | $2,264 |
| Aetna | Aetna - HMO/POS | $3,329 |
| Blue Cross | Blue Cross - Standard | $3,329 |
| Blue Shield | Blue Shield - HMO | $3,762 |
| Indian Health Council | Indian Health Council | $4,061 |
| Community Health Group | Community Health Group - Medi-Cal | $4,228 |
| Humana | Choice Care Network | $4,228 |
| Kaiser | Kaiser - HMO | $4,248 |
| Epic Americas | AXA Assistance | $4,248 |
| United Healthcare | United Healthcare - Medicare | $4,494 |
| Community Health Group | Community Health Group - Cal Mediconnect | $4,494 |
| Aetna | Aetna Whole Health | $4,661 |
| Blue Shield | Blue Shield - Promise | $4,994 |
| United Healthcare | United Healthcare - PPO | $5,127 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.