CT abdomen and pelvis with contrast at Tri-City Medical Center. CPT 74177.
What Tri-City Medical Center publishes for this service, straight from its standard-charges file, last updated May 29, 2026.
Outpatient / ER
$3,843cash price (self-pay)
$6,405list price
$285–$5,502range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Net | Medi-Cal, Healthy Families Healthy Kids | $285 |
| Multiplan | Workers Comp | $725 |
| Blue Shield of California | Covered California | $1,065 |
| Aetna | Medicare Advantage | $1,281 |
| Sharp Health Plan | HMO | $1,601 |
| Sharp Health Plan | PPO | $1,601 |
| Central Health Plan | Medicare Advantage | $1,921 |
| Health Net | Blue and Gold | $1,921 |
| Health Net | Bronze Network (SmartCare) | $1,921 |
| Molina Healthcare | Covered California PPO | $1,921 |
| Molina Healthcare | Medicare Advantage | $1,921 |
| Providence Health Plan | Covered California | $1,921 |
| Kaiser Permanente | HMO | $2,242 |
| Aetna | Commercial | $2,303 |
| UnitedHealthcare | Select/Select Plus | $2,692 |
| UnitedHealthcare | Commercial | $2,949 |
| Health Net | Commercial/Covered California PPO | $3,740 |
| Blue Shield of California | Commercial | $3,804 |
| Magellan Health | Commercial/Medicare Advantage | $3,843 |
| Multiplan | PPO | $4,483 |
| Cigna | HMO | $4,739 |
| Cigna | PPO | $5,053 |
Inpatient
$3,843cash price (self-pay)
$6,405list price
$4,483–$5,433range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | PPO | $4,483 |
| Health Net | Commercial/Covered California PPO | $4,989 |
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