CT abdomen and pelvis with contrast at St Lukes Hospital Warren Campus. CPT 74177.
What St Lukes Hospital Warren Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$10,445cash price (self-pay)
$11,605list price
$311–$4,050range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $311 |
| AmeriHealth Caritas | Medicaid | $316 |
| UPMC Health Plan | Medicaid | $316 |
| Independence Blue Cross | Medicare Advantage | $393 |
| United Healthcare | Medicare Advantage | $393 |
| Aetna | Medicare | $401 |
| Geisinger | Medicare | $401 |
| Humana | Medicare | $409 |
| UPMC Health Plan | Medicare Advantage | $413 |
| Independence Blue Cross | HMO | $824 |
| Independence Blue Cross | PPO | $824 |
| United Healthcare | Commercial | $1,128 |
| Horizon BCBS NJ | Indemnity | $1,320 |
| Horizon BCBS NJ | Managed Care | $1,320 |
| Horizon BCBS NJ | PPO | $1,320 |
| Horizon BCBS NJ | Omnia | $1,558 |
| Capital Blue Cross | Commercial | $1,803 |
| Oscar | Commercial | $3,017 |
| Cigna | Commercial | $3,153 |
| UPMC Health Plan | Commercial | $3,181 |
| Geisinger | Commercial | $3,262 |
| Aetna | Medical Rental | $3,992 |
| Aetna | Commercial | $4,050 |
Inpatient
$10,445cash price (self-pay)
$11,605list price
$3,017–$3,263range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $3,017 |
| United Healthcare | Commercial | $3,110 |
| UPMC Health Plan | Commercial | $3,173 |
| Geisinger | Commercial | $3,263 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.