CT abdomen and pelvis with contrast at Geisinger Bloomsburg Hospital. CPT 74177.
What Geisinger Bloomsburg Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$3,785cash price (self-pay)
$7,569list price
$1.00–$6,434range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $1.00 |
| Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.03 |
| AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.15 |
| UPMC For You | UPMC For You - Managed Medicaid | $1.18 |
| Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 |
| United Healthcare | United Healthcare - Managed Medicaid | $1.47 |
| United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 |
| Cigna | Cigna | $219 |
| Blue Cross Blue Shield | Highmark Freedom Blue - Medicare Advantage | $340 |
| Advantra | Advantra - Medicare Advantage | $340 |
| Humana | Humana - Medicare Advantage | $340 |
| Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advant | $340 |
| United Healthcare | United Healthcare - Medicare Advantage | $340 |
| Medicare | Medicare | $340 |
| Blue Cross Blue Shield | Capital Blue Cross Blue Journey - Medicare Ad | $343 |
| Care Improvement Plus | Care Improvement Plus - Medicare Advantage | $347 |
| American Progressive | American Progressive - Today's Options - Medic | $347 |
| AmeriHealth | AmeriHealth Cartias - Medicare Advantage | $353 |
| UPMC for Life | UPMC For Life - Medicare Advantage | $357 |
| United Healthcare | United Healthcare - All Payer Rate | $451 |
| Naphcare | Naphcare | $510 |
| Medical Development International | Medical Development International | $510 |
| Geisinger Health Plan | Geisinger Health Plan - Employee | $667 |
| Blue Cross Blue Shield | Highmark BC/BS - Special Care | $721 |
| Ambetter | Ambetter | $816 |
| Geisinger Health Plan | Geisinger Health Plan - Commercial | $860 |
| Blue Cross Blue Shield | Highmark BC/BS | $1,031 |
| Blue Cross Blue Shield | Capital - Special Network Rates | $1,216 |
| Blue Cross Blue Shield | Capital - Enhanced Network Rates | $1,738 |
| Aetna | Aetna - Medicare Advantage | $2,869 |
Inpatient
$3,785cash price (self-pay)
$7,569list price
$3,028–$12,191range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Intergroup Services | Intergroup Services Corp - Green | $3,028 |
| Christian Healthcare Ministries | Christian Healthcare Ministries | $3,785 |
| United Healthcare | United Healthcare - All Payer Rate | $3,937 |
| Aetna | First Health Network | $4,799 |
| Intergroup Services | Intergroup Services | $5,298 |
| Humana | Humana - Commercial | $6,434 |
| Multiplan | Multiplan/Private Health Care System | $6,434 |
| Blue Cross Blue Shield | Highmark BC/BS - Special Care | $8,534 |
| Blue Cross Blue Shield | Highmark BC/BS | $12,191 |
| Blue Cross Blue Shield | Highmark | $12,191 |
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