CT abdomen and pelvis with contrast at UPMC Chautauqua. CPT 74177.
What UPMC Chautauqua publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$475cash price (self-pay)
$791list price
$329–$1,094range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | CHIP | $329 |
| UPMC Health Plan | Managed Medicaid | $329 |
| Univera | Medicare Advantage | $336 |
| MagnaCare | No Fault | $354 |
| MagnaCare | Workers Compensation | $354 |
| Geisinger | Medicaid/CHIP | $366 |
| Independent Health | Medicare Advantage | $377 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $397 |
| Beacon | Medicare Advantage | $436 |
| Humana | Medicare | $436 |
| United Healthcare | Medicare | $436 |
| United Behavioral Health | Medicare | $436 |
| Fidelis | Medicare | $436 |
| UPMC Health Plan | Managed Medicare | $436 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $445 |
| Wellcare | Medicare | $449 |
| Aetna | Medicare | $454 |
| UPMC Health Plan | Commercial | $475 |
| Independent Health | Commercial | $479 |
| United Healthcare | Commercial | $506 |
| Aetna | Commercial | $514 |
| Beacon | Commercial | $545 |
| MagnaCare | Direct Plus | $593 |
| MagnaCare | PPO | $593 |
| Multiplan | PPO (Includes PHCS as a Payer) | $593 |
| GHI/Emblem Health | Commercial | $633 |
| Humana | Commercial | $633 |
| Statewide Independent PPO | PPO | $696 |
| Affordable First Health | PPO | $712 |
| BCBS of Western NY | Commercial | $1,094 |
Inpatient
$475cash price (self-pay)
$791list price
$514–$593range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $514 |
| United Healthcare | Commercial | $514 |
| Humana | Commercial | $593 |
| MagnaCare | Direct Plus | $593 |
| MagnaCare | PPO | $593 |
| MagnaCare | No Fault | $593 |
| MagnaCare | Workers Compensation | $593 |
| Multiplan | PPO (Includes PHCS as a Payer) | $593 |
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