CT abdomen and pelvis with contrast at Woodland Memorial Hospital. CPT 74177.
What Woodland Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,567cash price (self-pay)
$9,367list price
$282–$9,367range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|< 21 | $282 |
| BCBS - Anthem | Medicaid|> 21 | $282 |
| United | Medicaid|< 21 | $282 |
| United | Medicaid|> 21 | $282 |
| BCBS - Anthem | Medicare|All Plans | $443 |
| Connected Care | Commercial|Intel | $469 |
| Aetna | Medicare|All Plans | $469 |
| Blue Shield CA | Medicare|All Plans | $469 |
| Kaiser | Medicare|All Plans | $469 |
| Molina | Medicare|All Plans | $469 |
| United | Medicare|All Plans | $469 |
| California Health & Wellness | Medicaid|All Plans | $710 |
| Health Net | Medicaid|All Plans | $710 |
| United | Commercial|All Other Plans | $828 |
| United | Commercial|HMO | $828 |
| United | Commercial|Non-Options PPO | $828 |
| United | Commercial|Options PPO | $828 |
| WCMG | Commercial|All Plans | $1,030 |
| Aetna | Commercial|All Other Plans | $1,071 |
| Aetna | Commercial|HMO | $1,071 |
| Aetna | Commercial|PPO | $1,071 |
| Partnership Health Plan | Medicaid|All Plans | $1,212 |
| Western Health Advantage | Commercial|All Plans | $3,278 |
| Kaiser | Medicaid|All Plans | $3,840 |
| Cigna | Commercial|LocalPlus | $3,934 |
| Kaiser | Commercial|All Plans | $5,058 |
| BCBS - Anthem | Commercial|Connection EPO | $5,159 |
| Cigna | Commercial|All Other Plans | $5,246 |
| Magellan | Commercial|All Plans | $5,620 |
| BCBS - Anthem | Commercial|All Other Plans | $6,449 |
Inpatient
$2,567cash price (self-pay)
$9,367list price
$1,030–$8,618range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WCMG | Commercial|All Plans | $1,030 |
| Kaiser | Medicaid|All Plans | $3,840 |
| Cigna | Commercial|LocalPlus | $3,934 |
| Kaiser | Commercial|All Plans | $5,058 |
| Cigna | Commercial|All Other Plans | $5,246 |
| Magellan | Commercial|All Plans | $5,620 |
| Sutter Health | Commercial|All Plans | $7,494 |
| First Health | Commercial|All Plans | $8,430 |
| Healthsmart | Commercial|All Plans | $8,430 |
| MultiPlan | Commercial|All Plans | $8,618 |
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