CT abdomen and pelvis with contrast at Sherman Oaks Hospital. CPT 74177.
What Sherman Oaks Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$446cash price (self-pay)
$2,320list price
$203–$2,352range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $203 |
| Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $203 |
| Health Net Of CA | Health Net Of CA Medi-Cal IPA | $203 |
| L.A Care Health Plan | L.A Care Health Plan Medi-Cal | $203 |
| Molina | Molina Medi-Cal | $203 |
| Traditional Medi-Cal | Traditional Medi-Cal | $203 |
| Health Net Of CA | Health Net Of CA Medi-Cal | $217 |
| Anthem Blue cross | Anthem Blue Cross Medi-cal | $296 |
| AIDS Healthcare Foundation | Aids Health Care Foundation MSSP | $447 |
| Alignment | Alignment Medicare | $447 |
| BLUE SHIELD OF CA, VA | Blue Shield of CA, VA | $447 |
| Elite Health Plan | Elite Health Plan (Medicare) | $447 |
| HEALTH NET FEDERAL SERVICES TRICARE | Health Net Federal Services Tric | $447 |
| Health Net Of CA | Health Net Of CA Cal-Mediconnect | $447 |
| Health Net Of CA | Health Net Of CA Medicare | $447 |
| Imperial Health Plan | Imperial Health Plan Medicare | $447 |
| L.A Care Health Plan | L.A Care Health Plan Covered CA and Covered Dir | $447 |
| L.A Care Health Plan | L.A Care Health Plan Duals | $447 |
| Managed Health Network | Managed Health Network Medicare | $447 |
| Molina | Molina Exchange | $447 |
| Molina | Molina Medicare | $447 |
| Renal Payer Solutions | Renal Payer Solutions Medicare | $447 |
| Traditional Medicare | Traditional Medicare | $447 |
| Brand New Day | Brand New Day Medicare | $451 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medicare | $455 |
| CORVEL | Corvel Workers Compensation | $509 |
| AMERICAS CHOICE PROVIDER NETWORK | Americas Choice Provider Network Wo | $520 |
| MULTIPLAN | Multiplan Workers Compensation | $520 |
| PRIME HEALTH SERVICES | Prime Health Services Workers Compensation | $520 |
| THREE RIVERS | Three Rivers Workers Compensation | $520 |
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