CT abdomen and pelvis with contrast at Jefferson Cherry Hill Hospital. CPT 74177.
What Jefferson Cherry Hill Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$451cash price (self-pay)
$2,405list price
$251–$3,162range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health NJ | Medicaid | $255 |
| PA Health and Wellness CHC | JNJ001_JNJ002_JNJ003 CHC | $296 |
| Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commerci | $336 |
| United Healthcare Medicare | Medicare Dual SNP | $351 |
| AmeriHealth Medicare | JNJ001_JNJ002_JNJ003 Medicare | $353 |
| Inspira Life | JNJ001_JNJ002_JNJ003 Medicare | $353 |
| Point of Comfort Refugee Resettlement | Commercial | $353 |
| Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $353 |
| Optum VA CCN | JNJ001_JNJ002_JNJ003 VA CCN | $353 |
| St Agnes | Medicare | $353 |
| Innovage | JNJ001_JNJ002_JNJ003 Medicare | $353 |
| VA_Champus_Tricare | JNJ001_JNJ002_JNJ003 Military | $353 |
| NJ Amerigroup Medicare | JNJ001_JNJ002_JNJ003 Medicare | $360 |
| Jefferson Health Plan Medicare | JNJ001_JNJ002_JNJ003 Medicare | $360 |
| Humana Medicare | JNJ001_JNJ002_JNJ003 Medicare | $360 |
| United Healthcare Medicare | JNJ001_JNJ002_JNJ003 AARP | $360 |
| Aetna Medicare Adv | JNJ001_JNJ002_JNJ003 Medicare | $360 |
| United Healthcare Medicare | Medicare Group Retiree | $360 |
| United Healthcare Medicare | Medicare ISNP | $360 |
| Cigna HealthSpring Medicare Adv | JNJ001_JNJ002_JNJ003 Medicare | $367 |
| Highmark Medicare Advantage | JNJ001_JNJ002_JNJ003 Medicare | $371 |
| Devoted Health Participation | JNJ001_JNJ002_JNJ003 Medicare | $371 |
| Provider Partners Health Plan | JNJ001_JNJ002_JNJ003 Medicare | $378 |
| PA Health and Wellness Medicare | JNJ001_JNJ002_JNJ003 Medicare | $389 |
| Geisinger Medicare Advantage | JNJ001_JNJ002_JNJ003 Medicare | $406 |
| Highmark Wholecare Gateway | JNJ001_JNJ002_JNJ003 Medicare | $413 |
| IBC Main Line Health | JNJ001_JNJ002_JNJ003 Commercial | $442 |
| IBC Employee Benefit | JNJ001_JNJ002_JNJ003 Commercial | $442 |
| PA Health and Wellness Commercial | JNJ001_JNJ002_JNJ003 Exchange | $512 |
| NaphCare | JNJ001_JNJ002_JNJ003 Commercial | $565 |
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