CT abdomen and pelvis with contrast at Penn Medicine Princeton Health. CPT 74177.
What Penn Medicine Princeton Health publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$19,503cash price (self-pay)
$19,503list price
$241–$19,503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $241 |
| TriCare | TriCare | $393 |
| US Family Health Plan | US Family Health Plan | $451 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-PPO | $841 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-Indemnity | $841 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-HMO POS and Direct | $841 |
| United Healthcare | UnitedHealthcare Compass Exchange | $1,334 |
| Horizon Blue Cross of NJ-Exchange | Horizon Blue Cross of NJ-Exchange | $1,598 |
| Medicaid NJ | Medicaid NJ | $1,798 |
| Managed Medicaid NJ Other | Managed Medicaid NJ Other | $1,798 |
| Wellcare | Wellcare | $1,978 |
| United Healthcare | UnitedHealthcare | $2,399 |
| United Healthcare | Oxford | $2,399 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-Medicare HMO | $3,918 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $5,071 |
| Horizon Behavioral Health | Horizon Behavioral Health | $7,312 |
| Horizon Blue Cross of NJ | Horizon Casuality Workers Compensation | $9,410 |
| Horizon Blue Cross of NJ | Horizon Casuality PIP | $11,333 |
| MagnaCare | MagnaCare | $11,702 |
| Princeton Theological Seminary | Princeton Theological Seminary | $12,677 |
| MagnaCare | MagnaCare Workers Compensation | $13,652 |
| Health Net | Health Net HMO | $13,652 |
| Penn Global Medicine Embassy Only | Penn Global Medicine Embassy Only | $15,602 |
| Intergroup | Intergroup | $15,602 |
| Intergrated Health Plan | Intergrated Health Plan | $15,602 |
| Tri-State | Tri-State | $16,578 |
| Total Care Network | Total Care Network | $16,578 |
| Qualcare | Qualcare Workers Compensation | $16,578 |
| Qualcare | Qualcare | $16,578 |
| Private Healthcare Systems | Private Healthcare Systems | $16,578 |
Inpatient
$19,503cash price (self-pay)
$19,503list price
$5,071–$19,503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Health Care Eliance | Preferred Health Care Eliance | $5,071 |
| Beacon Health Options | Beacon Health Options | $9,752 |
| Aetna Rental Network | Aetna Rental Network | $13,555 |
| MagnaCare | MagnaCare Workers Compensation | $13,652 |
| Horizon Blue Cross of NJ | Horizon Casuality PIP | $14,670 |
| Penn Global Medicine Embassy Only | Penn Global Medicine Embassy Only | $15,602 |
| Intergroup | Intergroup | $15,602 |
| Intergrated Health Plan | Intergrated Health Plan | $15,602 |
| Beech Street | Beech Street | $15,602 |
| Aetna Indemnity | Aetna Indemnity | $16,246 |
| Personnel Health Program | Personnel Health Program | $19,503 |
| International PFS | International PFS | $19,503 |
| Commercial Other | Commercial Other | $19,503 |
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