CT abdomen and pelvis with contrast at United Memorial Medical Center. CPT 74177.
What United Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,095cash price (self-pay)
$1,685list price
$109–$961range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus | Medicaid Government Programs | $109 |
| Excellus | Medicare Advantage | $175 |
| United Healthcare | Medicare Advantage | $205 |
| Wellcare | Medicare Advantage | $205 |
| Highmark | Medicare Advantage | $216 |
| Molina Healthcare Of NY | Medicaid Mma Chp | $321 |
| Highmark | Commercial HMO/PPO/Pps | $337 |
| Highmark | Commercial Indemnity | $337 |
| Mvp - Cigna | Commercial Individual Exchange | $605 |
| Excellus | Commercial | $961 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.