CT abdomen and pelvis with contrast at Sonora Community Hospital. CPT 74177.
What Sonora Community Hospital publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$57.63cash price (self-pay)
$339list price
$13.33–$8,504range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bc Mcs | Bc Mcs | $13.33 |
| Bc Non-Mcs - All Other Plans | Bc Non-Mcs - All Other Plans | $13.33 |
| Blue Shield Mcare | Blue Shield Mcare | $85.16 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $85.16 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $85.16 |
| UHC Mcr Adv | UHC Mcr Adv | $85.16 |
| Central CA Alliance Mcr Adv Profee Only | Central CA Alliance Mcr Adv | $85.16 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $93.68 |
| Cigna PPO - All Plans | Cigna PPO - All Plans | $105 |
| Greatwest Oa/POS/HMO | Greatwest Oa/POS/HMO | $111 |
| Greatwest PPO - All Other Plans | Greatwest PPO - All Other Plans | $111 |
| Healthnet - All Other Plans | Healthnet - All Other Plans | $124 |
| Western Growers/Pinnacle - All Plans | Western Growers/Pinnacle - All | $127 |
| Blue Shield Epn | Blue Shield Epn | $157 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $166 |
| Celtic CA Hlth Well Mcal - All Plans | Celtic CA Hlth Well Mcal - All | $282 |
| Central CA Alliance Mcal | Central CA Alliance Mcal | $282 |
| Healthnet Mcal | Healthnet Mcal | $282 |
| Medi-Cal | Medi-Cal | $282 |
| Bc Mcal | Bc Mcal | $282 |
| UHC - All Other Plans | UHC - All Other Plans | $292 |
| UHC Jll Bp | UHC Jll Bp | $292 |
| UHC PPO | UHC PPO | $292 |
| UHC Select | UHC Select | $292 |
| Beech Street- All Plans | Beech Street- All Plans | $305 |
| Trpn - Three Rivers PPO - All Plans | Trpn - Three Rivers PPO - All Pl | $305 |
| Central CA Alliance Ccs Mcal | Central CA Alliance Ccs Mcal | $339 |
| Central CA Alliance Chdp Mcal | Central CA Alliance Chdp Mcal | $339 |
| Central CA Alliance Comm Profee Only-All Other Pla | Central CA Allian | $339 |
| Aetna - All Other Plans | Aetna - All Other Plans | $462 |
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