CT abdomen and pelvis with contrast at Doylestown Hospital. CPT 74177.
What Doylestown Hospital publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
$2,760cash price (self-pay)
$2,984list price
$324–$2,984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $324 |
| Medicare | Medicare | $343 |
| OTHER BLUE CROSS (100 Percent POM) | OTHER BLUE CROSS (100 Percent POM | $343 |
| Other Blue Cross Med Adv | Other Blue Cross Med Adv | $350 |
| Tricare | Tricare | $355 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $357 |
| Ambetter | Ambetter | $360 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $364 |
| Highmark-Bc Central | Highmark-Bc Central | $652 |
| Highmark Indemnity/Managed Care | Highmark Indemnity/Managed Care | $732 |
| Independence Blue Cross HMO Tiered | Independence Blue Cross HMO Tiere | $790 |
| OTHER BLUE CROSS (100 Percent POM) | OTHER BLUE CROSS | $806 |
| Independence Blue Cross HMO PPO | Independence Blue Cross HMO PPO | $859 |
| United Healthcare | United Healthcare | $940 |
| Independence Blue Cross Traditional | Independence Blue Cross Traditio | $945 |
| Aetna Pebtf | Aetna Pebtf | $2,050 |
| Aetna | Aetna | $2,196 |
| Medigap | Medigap | $2,984 |
| Self-Pay | Self-Pay | $2,984 |
Inpatient
$2,760cash price (self-pay)
$2,984list price
$745–$2,984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OTHER BLUE CROSS (100 Percent POM) | OTHER BLUE CROSS | $806 |
| Medigap | Medigap | $2,984 |
| Self-Pay | Self-Pay | $2,984 |
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