CT abdomen and pelvis with contrast at Victor Valley Global Medical Center. CPT 74177.
What Victor Valley Global Medical Center publishes for this service, straight from its standard-charges file, last updated May 13, 2026.
Outpatient / ER
$1,340cash price (self-pay)
$2,190list price
$271–$3,039range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | Blue Shield EPN | $271 |
| Health Net | Health Net Medi-Cal HMO | $282 |
| Heritage Provider Network | Heritage Provider Network Med-Cal | $282 |
| Inland Faculty Medical Group | Inland Faculty Med Grp MCAL HMO | $282 |
| Kaiser | Kaiser Medi-cal HMO | $282 |
| Blue Shield | Blue Shield | $320 |
| LaSalle Medical Assoc | LaSalle Medical Assoc (Ancillary) MCAL HMO | $333 |
| Molina Healthcare | Molina Medi-Cal HMO | $333 |
| Tricare | Tricare | $371 |
| Aetna Healthcare | Aetna SR | $385 |
| Central Health Plan | Central Health Plan SR | $385 |
| Desert View Correctional | Desert View Correctional | $385 |
| Epic Medical Network | Epic Medical Network SR | $385 |
| Health Net | Health Net SR | $385 |
| IEHP | IEHP Medicare Advantage | $385 |
| Inter Valley | Inter Valley Health Plan SR | $385 |
| Other Medicare Senior | Other Medicare Senior | $385 |
| United Healthcare | United Healthcare SR | $385 |
| US Dept of Labor | US Dept of Labor/Workers Comp | $385 |
| Hardship Program | AB774 Hardship Program | $386 |
| Alignment Health Plan | Alignment Health Plan MCare Adv | $386 |
| AltaMed | AltaMed Health Services MCAL HMO | $395 |
| AltaMed | AltaMed MCAL/PACE | $395 |
| IEHP | IEHP Direct | $423 |
| Prime Health Services | Prime Health Services SR | $443 |
| Cigna Healthcare | Cigna HMO/PPO | $496 |
| Aetna Healthcare | Aetna | $568 |
| Medi-Cal HMO Non-Contract | Medi-Cal HMO Non-Contract | $811 |
| Medi-Cal/Medicaid | Medi-Cal/Medicaid | $811 |
| Vantage Medical Group | Vantage Medical Group Ancillary | $811 |
Inpatient
$1,340cash price (self-pay)
$2,190list price
$704–$3,039range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health/CCN | First Health/CCN | $1,149 |
| Kaiser | Kaiser Commercial HMO | $1,332 |
| MultiPlan | MultiPlan | $1,533 |
| MultiPlan | MultiPlan WCOMP | $1,533 |
| Provider Network of America | PNOA-Provider Network of America | $1,752 |
| Prime Health Services | Prime Health Services PPO | $1,752 |
| Other Commercial Non-Contract | Other Commercial Non-Contract | $2,190 |
| Private Pay | Private Pay | $2,190 |
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