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CT abdomen and pelvis with contrast at Children's Hospital of Philadelphia. CPT 74177.

What Children's Hospital of Philadelphia publishes for this service, straight from its standard-charges file, last updated December 31, 2025.

Outpatient / ER

$7,445cash price (self-pay)
$7,445list price
$260–$6,701range insurers pay
Insurance planNegotiated rate
Geisinger Medical Assistance | All plan types$260
Highmark Wholecare | All plan types$289
Horizon NJ Health | All plan types$544
Keystone First Medicaid | All plan types$1,228
UHC Community Plans PA | All plan types$1,236
United Healthcare | All plan types$1,299
Health Partners | All plan types$1,403
Geisinger Health Plan Commercial | All plan types$1,802
Aetna Better Health | All plan types$1,960
UPMC Medical Assistance | All plan types$2,033
Keystone First CHIP | All CHIP plant types$2,308
Keystone Health Plan East | HMO$2,354
Horizon Blue Cross Blue Shield of New Jersey | All plan types$2,628
Independence Blue Cross | PPO$2,983
Jefferson Health Plans | All plan types$3,522
Aetna | All plan types$3,723
Cigna HMO | HMO$3,723
Cigna PPO | PPO$3,723
Highmark | All plan types$3,723
Qualcare | All plan types$4,095
First Health Network | PPO$4,840
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics | All$5,956
Private Health Care Systems | All plan types$5,956
Choice Care Network | All plan types$6,701
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All common services at Children's Hospital of Philadelphia