CT abdomen and pelvis with contrast at Shriners Children's Northern California. CPT 74177.
What Shriners Children's Northern California publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$4,130cash price (self-pay)
$4,130list price
$100–$634range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Permanente | Commercial | $100 |
| Anthem | Commercial | $283 |
| Cigna | Commercial | $306 |
| Amerigroup NV | Managed Medicaid | $308 |
| Centene Western Sky Community Care | Mgd. Medicaid | $316 |
| Centene SilverSummitt Healthplan | Medicaid | $342 |
| Health Plan of NV | Managed Medicaid | $342 |
| United Healthcare | Nat | $382 |
| Aetna Better Health of CA | Managed Medicaid | $404 |
| Anthem - Medi | Cal | $404 |
| Centene California Health and Wellness | Mgd Mcaid | $404 |
| Centene Calviva Health | Managed Medicaid | $404 |
| Centene Health Net of CA - Managed Medi | Cal | $404 |
| Central California Alliance for Health | Mgd Mcd | $404 |
| Health Plan of San Joaquin | Managed Medicaid | $404 |
| Kaiser Permanente | MediCal Man Care | $404 |
| Molina Healthcare of CA | Managed Medicaid | $404 |
| Partnership HealthPlan of CA | Managed Medicaid | $404 |
| Aetna Better Health of MI | Managed Medicaid | $453 |
| Northbay Healthcare | Medicare Advantage | $453 |
| Providence Health Plan | Commercial | $460 |
| Aetna National | Commercial | $479 |
| Sutter Medical Foundation | Commercial | $498 |
| Centene Trillium Community Health Plan | Mgd Mcd | $516 |
| Centene Ambttr Slvr Smmit Hlth Pln | Commercial | $521 |
| Centene SilverSummitt Healthplan | Medicare | $521 |
| Health Net of CA | Commercial | $521 |
| Sana Benefits | Commercial | $634 |
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All common services at Shriners Children's Northern California