CT abdomen and pelvis with contrast at Southern California Hospital at Hollywood. CPT 74177.
What Southern California Hospital at Hollywood publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$8,322cash price (self-pay)
$8,322list price
$14.77–$7,157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Covered California/IFP/PPO | $14.77 |
| Blue Shield of California | EPO/PPO/Out of State | $18.43 |
| Blue Shield Promise | Medi-Cal | $282 |
| Anthem Blue Cross | Managed Medi-Cal | $287 |
| Molina | Managed Medi-Cal | $296 |
| Health Net of California | Managed Medi-Cal | $310 |
| LA Care | Managed Medi-Cal for PASC-SEIU Members | $338 |
| Aetna | Medicare Advantage | $357 |
| Alignment Health Plan | Medicare Advantage | $357 |
| Central Health Plan | Medicare Advantage | $357 |
| Health Net of California | Medicare Advantage | $357 |
| Kaiser | Medicare Advantage/Medi-Cal | $357 |
| LA Care | Medicare Advantage/Covered California | $357 |
| Legacy Health Plan | Medicare Advantage | $357 |
| Molina | Medicare Advantage | $357 |
| Optum Health | Commercial HMO | $357 |
| United Healthcare | Medicare Advantage | $357 |
| Bright Health | Medicare Advantage | $364 |
| Aids Healthcare Foundation | Medicare Advantage | $364 |
| Easy Choice (WellCare) | Medicare Advantage | $364 |
| Imperial Health Plan | Medicare Advantage | $364 |
| Optum Health | Medicare Advantage | $364 |
| Patient Choice | Medicare Advantage | $375 |
| Bright Health | Covered California | $393 |
| Molina | Exchange | $393 |
| Aids Healthcare Foundation | Managed Medi-Cal | $395 |
| LA Care | Managed Medi-Cal | $395 |
| Aetna | Exchange | $464 |
| Naphcare | Commercial | $536 |
| Anthem Blue Cross | Covered California | $644 |
Inpatient
$8,322cash price (self-pay)
$8,322list price
$5,826–$7,157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Health Services | Commercial | $5,826 |
| PHCS Network | Commercial PPO | $5,909 |
| American Mental Health Network | Fed Med | $6,242 |
| Multiplan | Commercial | $7,157 |
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All common services at Southern California Hospital at Hollywood