CT abdomen and pelvis with contrast at Sierra Nevada Memorial Hospital. CPT 74177.

What Sierra Nevada Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,337cash price (self-pay)

$6,189list price

$282–$9,726range insurers pay

Insurance plan	Negotiated rate
Partnership Health Plan \| Medicaid\|< 21	$282
Partnership Health Plan \| Medicaid\|> 21	$282
BCBS - Anthem \| Medicaid\|All Plans	$386
Hill Physicians \| Commercial\|All Plans	$469
Humana \| Commercial\|All Plans	$469
Aetna \| Medicare\|All Plans	$469
BCBS - Anthem \| Medicare\|All Plans	$469
Blue Shield CA \| Medicare\|All Plans	$469
Health Net \| Medicare\|All Plans	$469
Humana \| Medicare\|All Plans	$469
Kaiser \| Medicare\|All Plans	$469
United \| Medicare\|All Plans	$469
California Health & Wellness \| Medicaid\|All Plans	$637
Health Net \| Medicaid\|All Plans	$637
United \| Commercial\|All Other Plans	$828
United \| Commercial\|HMO	$828
BCBS - Anthem \| Commercial\|Exchange	$1,244
Aetna \| Commercial\|All Other Plans	$1,294
Aetna \| Commercial\|HMO	$1,294
Aetna \| Commercial\|PPO	$1,294
BCBS - Anthem \| Commercial\|All Other Plans	$1,430
BCBS - Anthem \| Commercial\|MCS	$1,788
United \| Commercial\|Non-Options PPO	$4,147
Kaiser \| Commercial\|All Plans	$4,766
Cigna \| Commercial\|All Other Plans	$5,384
Cigna \| Commercial\|PPO	$5,384
First Health \| Commercial\|All Plans	$5,880
Healthsmart \| Commercial\|All Plans	$6,065
MultiPlan \| Commercial\|All Plans	$6,065

$5,409cash price (self-pay)

$9,924list price

$7,641–$9,726range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$7,641
Cigna \| Commercial\|All Other Plans	$8,634
Cigna \| Commercial\|PPO	$8,634
First Health \| Commercial\|All Plans	$9,428
Healthsmart \| Commercial\|All Plans	$9,726
MultiPlan \| Commercial\|All Plans	$9,726

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.