CT abdomen and pelvis with contrast at Stanford Health Care Tri-Valley. CPT 74177.
What Stanford Health Care Tri-Valley publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,114cash price (self-pay)
$10,284list price
$2,436–$2,643range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | Value Network/IFP Benefit Other Commercial Plan | $2,436 |
| Blue Shield | HMO/POS | $2,643 |
| Blue Shield | PPO/EPO | $2,643 |
Inpatient
$5,716cash price (self-pay)
$14,289list price
—range insurers pay
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