CT abdomen and pelvis with contrast at UCSF Langley Porter Psychiatric Hospital. CPT 74177.
What UCSF Langley Porter Psychiatric Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,482cash price (self-pay)
$8,272list price
$510–$1,021range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aspire | Medicare Managed Care Plan | $510 |
| Unitedhealthcare | Medicare Managed Care Plan | $612 |
| Blue Shield | Medicare Managed Care Plan | $638 |
| Brown & Toland Health Services | Medicare Managed Care Plan | $714 |
| Chinese Community Health Plan | Medicare Managed Care Plan | $1,021 |
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All common services at UCSF Langley Porter Psychiatric Hospital