CT abdomen and pelvis with contrast at Sonoma Valley Hospital. CPT 74177.
What Sonoma Valley Hospital publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$7,335cash price (self-pay)
$10,478list price
$288–$18,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna-All Plans | Aetna-All Plans | $288 |
| First Health(Coventry)-All Plans | First Health(Coventry)-All Plans | $288 |
| Medi-Cal | Medi-Cal | $404 |
| Tricare-All Plnas | Tricare-All Plnas | $470 |
| Hospice Of Marin-All Plans | Hospice Of Marin-All Plans | $480 |
| St Joseph Heritage Hltcare Comm-All Other Plans | St Joseph Heritage H | $480 |
| Blue Cross Senior | Blue Cross Senior | $480 |
| Bright Hlth/Brand New Day Mcr Adv | Bright Hlth/Brand New Day Mcr Adv | $480 |
| Marin General Comm/Mcr Adv (Western Hlth)-All Plan | Marin General Com | $504 |
| Cdcr Prison-All Plans | Cdcr Prison-All Plans | $576 |
| Chp - Correctional Health Partners - All Plans | Chp - Correctional He | $624 |
| Bright Hlth/Brand New Day - All Other Plands | Bright Hlth/Brand New D | $648 |
| Mcal Mgd Care (Php)-All Plans | Mcal Mgd Care (Php)-All Plans | $667 |
| Wellpath - All Plans | Wellpath - All Plans | $672 |
| UHC-All Other Plans | UHC-All Other Plans | $768 |
| Canopy Bay Area Accountable Care Ntwrk (Baacn) - A | Canopy Bay Area A | $864 |
| Canopy Health Solutions-All Other Plans | Canopy Health Solutions-All | $864 |
| Comm Care Network(Ccn)-All Plans | Comm Care Network(Ccn)-All Plans | $1,000 |
| Partnership Healthplan-All Plans | Partnership Healthplan-All Plans | $1,415 |
| Healthnet HMO/PPO-All Other Plans | Healthnet HMO/PPO-All Other Plans | $4,086 |
| Interplan-All Plans | Interplan-All Plans | $5,500 |
| Blue Shield PPO-All Plans | Blue Shield PPO-All Plans | $5,952 |
| Kaiser-All Plans | Kaiser-All Plans | $6,811 |
| Blue Cross HMO/PPO-All Other Plans | Blue Cross HMO/PPO-All Other Plan | $6,875 |
| Integrated Health Plan-All Plans | Integrated Health Plan-All Plans | $7,754 |
| Cigna-All Plans | Cigna-All Plans | $8,382 |
| Champus-All Plans | Champus-All Plans | $8,382 |
| Networks By Design - All Plans | Networks By Design - All Plans | $8,382 |
| Great West-One Health Plan PPO/POS-All Plans | Great West-One Health P | $8,906 |
| Phcs/Multiplan/Beech St-All Plans | Phcs/Multiplan/Beech St-All Plans | $8,906 |
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