CT abdomen and pelvis with contrast at Valley Children's Hospital. CPT 74177.
What Valley Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
$9,997list price
$282–$9,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AllCare IPA | All Commercial Products | $282 |
| United Health Care | Commercial HMO | $331 |
| Dignity IPA_Formerly IMG | Managed Medicaid | $395 |
| La Salle IPA | Managed Medicaid | $395 |
| Sante IPA | All Commercial Products | $395 |
| Kaiser | Managed Medicaid | $409 |
| Central Valley Medical Providers IPA | Managed Medicaid | $423 |
| Sequoia Health IPA | Managed Medicaid | $423 |
| Univseral Healthcare IPA | Managed Medicaid | $423 |
| Community Care IPA | Managed Medicaid | $445 |
| Adventist | Managed Medicaid | $497 |
| Blue Cross | Managed Medicaid | $510 |
| CenCal Health | Managed Medicaid | $557 |
| Kern Family Health Care | Managed Medicaid | $563 |
| Central California Alliance for Health | Managed Medicaid | $573 |
| United Health Care | All Commercial Products | $844 |
| Blue Cross | All Commercial Products | $2,101 |
| Health Net | Managed Medicaid | $3,518 |
| Dignity Health Central Coast | All Commercial Products | $4,954 |
| Central Valley Medical Providers IPA | All Commercial Products | $4,999 |
| Community Health | All Commercial Products | $5,498 |
| Stanislaus Partners in Health | All Commercial Products | $5,498 |
| Physicians Choice Medical Group | All Commercial Products | $5,598 |
| Health Plan of San Joaquin | Managed Medicaid | $5,998 |
| Fowler Packing | All Commercial Products | $6,198 |
| Dignity (formerly Managed Care Systems) | All Commercial Products | $6,298 |
| Kaiser | All Commercial Products | $6,498 |
| Kern Legacy | All Commercial Products | $6,498 |
| Health Net | All Commercial Products | $6,546 |
| Blue Shield | Value Network | $6,677 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.