CT abdomen and pelvis with contrast at USC Arcadia Hospital. CPT 74177.
What USC Arcadia Hospital publishes for this service, straight from its standard-charges file, last updated July 27, 2026.
Outpatient / ER
$2,292cash price (self-pay)
$6,548list price
$404–$6,548range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer | UHC All Payer | $404 |
| UHC Navigate/Select | UHC Navigate/Select | $404 |
| BLUE SHIELD SR Other | BLUE SHIELD SR Other | $429 |
| BLUE SHIELD SR Mediconnect | BLUE SHIELD SR Mediconnect | $433 |
| Blue Shield Sr | Blue Shield Sr | $447 |
| MEDICARE MANAGED 100 Percantage | MEDICARE MANAGED 100 Percentage | $447 |
| Molina Exchange (Mcr) | Molina Exchange (Mcr) | $469 |
| Health Sharing Ministry (Mcr) | Health Sharing Ministry (Mcr) | $491 |
| Healthnet PPO Enhanced | Healthnet PPO Enhanced | $518 |
| Healthnet HMO Exchange (Mcr) | Healthnet HMO Exchange (Mcr) | $558 |
| Mhsc Employee (Mcr) | Mhsc Employee (Mcr) | $625 |
| Regal Medical Group (Mcr) | Regal Medical Group (Mcr) | $625 |
| Hst Technology (Mcr) | Hst Technology (Mcr) | $893 |
| Blue Shield Exchange | Blue Shield Exchange | $1,229 |
| Blue Cross | Blue Cross | $1,739 |
| Ahmc Allied | Ahmc Allied | $2,000 |
| Self-Pay | Self-Pay | $2,292 |
| SELF-PAY - CA Resident | SELF-PAY - CA Resident | $2,619 |
| SELF-PAY - Non-CA Resident | SELF-PAY - Non-CA Resident | $2,619 |
| Healthcare Partners | Healthcare Partners | $2,852 |
| Healthnet HMO | Healthnet HMO | $3,456 |
| Cigna | Cigna | $3,562 |
| Cigna PPO | Cigna PPO | $3,562 |
| Phcs | Phcs | $4,125 |
| Blue Shield HMO | Blue Shield HMO | $4,374 |
| Blue Shield PPO | Blue Shield PPO | $4,374 |
| Affliated Health | Affliated Health | $4,911 |
| Beech Street | Beech Street | $4,911 |
| Interlink | Interlink | $5,238 |
| Multiplan | Multiplan | $5,238 |
Inpatient
$2,292cash price (self-pay)
$6,548list price
$4,911–$6,548range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Affliated Health | Affliated Health | $4,911 |
| Beech Street | Beech Street | $4,911 |
| Interlink | Interlink | $5,238 |
| Interplan | Interplan | $5,238 |
| Multiplan | Multiplan | $5,238 |
| Three Rivers | Three Rivers | $5,238 |
| Medigap | Medigap | $6,548 |
| Non Contracted (100% Poc) | Non Contracted (100 Poc) | $6,548 |
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