Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CT SCAN ABD&PELVIS W CONT
Tustin, CA
See all hospitals reporting CPT 74177 →Price type
Alta Newport Hospital, LLC’s median price of $370 is 51% below the median hospital's median price ($757), higher than 16% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $14.68 | $14.68 | $14.68 – $14.68 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $16.82 | $16.82 | $16.82 – $16.82 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $18.32 | $18.32 | $18.32 – $18.32 |
| 4 | UnitedHealthcare managed care facility · fee schedule · outpatient | $342.24 | $342.24 | $342.24 – $342.24 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $357.13 | $357.13 | $357.13 – $357.13 |
| 6 | Anthem medicare advantage facility · case rate · outpatient | $357.13 | $357.13 | $357.13 – $357.13 |
| 7 | Bcbs Ca medicare advantage facility · case rate · outpatient | $357.13 | $357.13 | $357.13 – $357.13 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $357.13 | $357.13 | $357.13 – $357.13 |
| 9 | Optum commercial hmo facility · case rate · outpatient | $357.13 | $357.13 | $357.13 – $357.13 |
| 10 | Optum medicare advantage facility · case rate · outpatient | $364.27 | $364.27 | $364.27 – $364.27 |
| 11 | WellCare medicare advantage facility · case rate · outpatient | $364.27 | $364.27 | $364.27 – $364.27 |
| 12 | Aetna exchange facility · case rate · outpatient | $464.27 | $464.27 | $464.27 – $464.27 |
| 13 | Aetna all gatekeeper plans facility · case rate · outpatient | $648.58 | $648.58 | $648.58 – $648.58 |
| 14 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $648.61 | $648.61 | $648.61 – $648.61 |
| 15 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $920.89 | $920.89 | $920.89 – $920.89 |
| 16 | Anthem ppg facility · case rate · outpatient | $1,151 | $1,151 | $1,151 – $1,151 |
| 17 | Cigna hmo/ppo facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
| 18 | Aetna all non-gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $3,517 | $3,517 | $3,517 – $3,517 |
| 19 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $5,760 | $5,760 | $5,760 – $5,760 |
| 20 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $6,465 | $6,465 | $6,465 – $6,465 |
| 21 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $6,465 | $6,465 | $6,465 – $6,465 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $7,722 | $7,722 | $7,722 – $7,722 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $7,722 | $7,722 | $7,722 – $7,722 |
Last updated: Mar 18, 2026
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