CT abdomen and pelvis with contrast at St. Mary Medical Center. CPT 74177.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$341cash price (self-pay)
$793list price
$198–$1,655range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| DHR | Medicaid|< 21 | $198 |
| DHR | Medicaid|> 21 | $198 |
| Noble IPA | Medicaid|< 21 | $254 |
| Noble IPA | Medicaid|> 21 | $254 |
| BCBS - Anthem | Medicaid|All Plans | $282 |
| HCLA | Medicaid|Preferred IPA < 21 | $282 |
| HCLA | Medicaid|Preferred IPA > 21 | $282 |
| Inland Empire Health Plan | Medicaid|All Plans | $282 |
| Partnership Health Plan | Medicaid|< 21 | $282 |
| Partnership Health Plan | Medicaid|> 21 | $282 |
| Preferred IPA | Medicaid|Risk | $282 |
| Angeles IPA | Medicare|All Plans | $282 |
| Health Net | Medicaid|< 21 | $376 |
| Health Net | Medicaid|> 21 | $376 |
| Molina | Medicaid|All Plans | $395 |
| Kaiser | Medicaid|< 21 | $423 |
| Kaiser | Medicaid|> 21 | $423 |
| BCBS - Anthem | Medicare|All Plans | $454 |
| Blue Shield CA | Medicare|All Other Plans | $454 |
| Blue Shield CA | Medicare|BlueShield Promise | $515 |
| Kaiser | Commercial|All Plans | $555 |
| HCLA | Commercial|Preferred IPA | $567 |
| LA Care | Commercial|All Plans | $567 |
| Healthcare Partners | Commercial|All Plans | $604 |
| MultiPlan | Commercial|All Plans | $634 |
| BCBS - Anthem | Commercial|Exchange | $716 |
| Aetna | Commercial|All Other Plans | $793 |
| Aetna | Commercial|HMO | $793 |
| Aetna | Commercial|PPO | $793 |
| United | Commercial|All Other Plans | $793 |
Inpatient
$1,706cash price (self-pay)
$3,967list price
$2,777–$3,967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $2,777 |
| MultiPlan | Commercial|All Plans | $3,174 |
| SMIPA | Medicare|All Plans | $3,967 |
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