CT abdomen and pelvis with contrast at West Anaheim Medical Center. CPT 74177.
What West Anaheim Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$446cash price (self-pay)
$3,833list price
$203–$3,833range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caloptima | Cal Optima Medi-Cal IP | $203 |
| Caloptima | Cal Optima Pace Cal Medi Connect | $203 |
| Traditional Medi-Cal | Traditional Medi-Cal | $203 |
| Health Net Of CA | Health Net Of Medi-Cal | $217 |
| Anthem Blue Cross | Anthem Blue Cross Medicare (9/16/2021 to 12/31/202 | $447 |
| Blue Shield Of CA Triwest | Blue Shield Of CA Triwest | $447 |
| Central Health Plan | Central Health Plan Medicare | $447 |
| Health Net Of CA | Health Net Of CA Medicare | $447 |
| Health Net Of CA | Health Net Of Federal Services Tricare | $447 |
| Health Net of CA MHN (BH) | Health Net of CA MHN (BH) Medicare | $447 |
| Molina | Molina Exchange | $447 |
| Molina | Molina Medicare | $447 |
| Renal Payor Solutions | Renal Payar Solutions Medicare | $447 |
| Traditional Medicare | Traditional Medicare | $447 |
| Tricare | Tricare | $447 |
| Verda Health Plan | Verda HealthPlan Medicare | $447 |
| Brand New Day | Brand New Day Medicare | $451 |
| Imperial Health Plan Of CA Inc | Imperial Health Plan Of CA Medicare | $473 |
| Health Net Federal Services | Health Net Federal Services Prison | $558 |
| Aetna | Coventry fka Aetna Workers Compensation | $571 |
| CA FOUNDATION FOR MEDICAL CARE | CA FOUNDATION FOR MEDICAL CARE Worker | $588 |
| Workers Compensation | Workers Compensation | $588 |
| Employer Direct Healthcare Surgery Plus | Employer Direct Healthcare S | $625 |
| Health Net Of CA | Health Net Of CA Commercial PPO | $628 |
| Health Net Of CA | Health Net Of CA Commercial Ins Exchange | $652 |
| Brand New Day | Brand New Day Exchange | $670 |
| NAPHCARE (Santa Ana - County Jail) | Naphcare Prison (Santa Ana - Co | $692 |
| Naphcare Residential Treatment Center | Naphcare Prison | $692 |
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