CT abdomen and pelvis with contrast at Chan Soon Shiong Medical Center at Windber. CPT 74177.
What Chan Soon Shiong Medical Center at Windber publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$808cash price (self-pay)
$950list price
$193–$667range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | AmeriHealth Caritas Medicaid | $202 |
| Geisinger | Geisinger Medicaid | $206 |
| Highmark Wholecare | Highmark Wholecare Medicaid | $225 |
| PA Health & Wellness | PA Health Wellness- Medicaid | $231 |
| United | United Medicare | $264 |
| UPMC Health Plan | UPMC Medicaid | $277 |
| Highmark | Highmark MCR Freedom Blue | $285 |
| Highmark | Highmark MCR Community/Complete Blue | $296 |
| Highmark | Highmark CHIP / Social Mission | $305 |
| Aetna | Aetna Medicare | $305 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicare | $305 |
| Geisinger | Geisinger Medicare | $305 |
| Humana | Humana Medicare | $305 |
| PA Health & Wellness | PA Health and Wellness- Medicare | $305 |
| UPMC Health Plan | UPMC Medicare | $305 |
| Highmark | Highmark Wholecare Medicare | $310 |
| Senior Life | Senior Life- Medicare | $310 |
| Va Ccn | Va Ccn | $310 |
| Highmark | Highmark MCR Security Blue | $318 |
| UPMC Health Plan | UPMC CHIP | $357 |
| Aetna | Aetna | $359 |
| UPMC Health Plan | UPMC | $372 |
| Cigna | Cigna | $425 |
| United | United | $473 |
| Highmark | Highmark Comm Performance Blue | $485 |
| Highmark | Highmark Comm Community Blue | $497 |
| Highmark | Highmark ACA / My Direct Blue / My Blue Access PPO | $498 |
| Highmark | Highmark Comm Managed/Indemnity | $508 |
| Geisinger | Geisinger | $561 |
Inpatient
$808cash price (self-pay)
$950list price
—range insurers pay
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All common services at Chan Soon Shiong Medical Center at Windber