CT abdomen and pelvis with contrast at Sharp Mary Birch Hospital for Women and Newborns. CPT 74177.
What Sharp Mary Birch Hospital for Women and Newborns 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–$6,525range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $1.00 |
| Health Net | Health Net - Medi-Cal | $2,663 |
| Medicare | Medicare | $5,326 |
| United Healthcare | United Healthcare - Medicare | $6,525 |
Inpatient
$4,994cash price (self-pay)
$6,658list price
$1,977–$5,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Choice Care Network | $2,264 |
| Health Net | Health Net Individual - HMO | $2,663 |
| Health Net | Health Net - HMO/POS/EPO | $2,663 |
| Health Net | Health Net - Medi-Cal | $2,663 |
| Community Health Group | Community Health Group - Cal Mediconnect | $2,796 |
| California Health and Wellness | California Health and Wellness | $3,662 |
| Optum Health | Optum Health - Commercial | $3,995 |
| Molina | Molina Medi-Cal | $4,228 |
| United Healthcare | United Healthcare - Medicare | $4,494 |
| Cigna | Cigna - PPO | $5,127 |
| Interplan | Interplan | $5,326 |
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All common services at Sharp Mary Birch Hospital for Women and Newborns