CT abdomen and pelvis with contrast at Geisinger Community Medical Center. CPT 74177.
What Geisinger Community Medical Center publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$3,988cash price (self-pay)
$7,975list price
$1.00–$7,178range 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 | $1.20 |
| United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 |
| Medicare | Medicare | $345 |
| Prison Health Services | Prison Health Services | $345 |
| Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advant | $345 |
| Humana | Humana - Medicare Advantage | $351 |
| AmeriHealth | AmeriHealth Cartias - Medicare Advantage | $358 |
| UPMC for Life | UPMC For Life - Medicare Advantage | $362 |
| Aetna | Aetna - Medicare Advantage | $362 |
| Blue Cross Blue Shield | Highmark Freedom Blue - Medicare Advantage | $595 |
| Geisinger Health Plan | Geisinger Health Plan - Employee | $764 |
| Geisinger Health Plan | Geisinger Health Plan - Commercial | $971 |
| United Healthcare | United Healthcare - All Payer Rate | $1,110 |
| Ambetter | Ambetter | $1,137 |
| United Healthcare | United Healthcare - Client Specific Rate | $1,243 |
| Blue Cross Blue Shield | Highmark - Special Care | $1,398 |
| Blue Cross Blue Shield | First Priority Health | $1,650 |
| Blue Cross Blue Shield | Highmark - Access Care II | $1,998 |
| Blue Cross Blue Shield | Highmark - Non Access Care II | $1,998 |
| Aetna | Aetna | $3,102 |
| Cigna | Cigna | $3,259 |
| Christian Healthcare Ministries | Christian Healthcare Ministries | $3,988 |
| Aetna | First Health Network | $4,490 |
| HealthNet | HealthNet - Commercial | $4,673 |
| Universal Managed Care | Universal Managed Care | $4,945 |
Inpatient
$3,988cash price (self-pay)
$7,975list price
$3,988–$22,980range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Christian Healthcare Ministries | Christian Healthcare Ministries | $3,988 |
| Aetna | First Health Network | $4,490 |
| HealthNet | HealthNet - Commercial | $4,673 |
| Universal Managed Care | Universal Managed Care | $5,184 |
| Intergroup Services | Intergroup Services | $6,380 |
| Multiplan | Multiplan/Private Health Care System | $6,779 |
| Intergroup Services | Intergroup Services Corp - Non-Logo | $7,178 |
| Blue Cross Blue Shield | Highmark - Special Care | $16,086 |
| Blue Cross Blue Shield | First Priority Health | $18,036 |
| Blue Cross Blue Shield | Highmark - Access Care II | $22,156 |
| Blue Cross Blue Shield | Highmark - Non Access Care II | $22,980 |
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