CT abdomen and pelvis with contrast at Heritage Valley Sewickley. CPT 74177.
What Heritage Valley Sewickley publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$1,040cash price (self-pay)
$3,852list price
$193–$3,148range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc | Aetna Better Health Medicaid | $193 |
| Gateway Health Plan | Gateway Medicaid Dba Highmark Wholecare | $231 |
| Highmark Choice Company (BCBS) | Bc Highmark Wholecare Medicaid | $231 |
| United Healthcare | United Healthcare Medicaid | $251 |
| Upmc Health Plan | Upmc Medicaid | $251 |
| Highmark Choice Company (BCBS) | Blue Cross Freedom Blue Medicare | $297 |
| Highmark Choice Company (BCBS) | Blue Cross Community Blue Medicare (2 | $320 |
| Highmark Choice Company (BCBS) | Blue Cross Complete Medicare | $320 |
| Highmark Choice Company (BCBS) | Blue Cross My Direct Blue (2u) | $322 |
| Gateway Health Plan | Gateway Medicare Advantage Dba Highmark Wholecar | $339 |
| Aetna Health Inc | Aetna Medicare | $340 |
| Cigna | Cigna Medicare | $340 |
| Community Care Behavioral Health | Community Care Behavioral Health | $340 |
| United Healthcare | United Healthcare Medicare | $340 |
| Upmc Health Plan | Upmc Medicare | $340 |
| Highmark Choice Company (BCBS) | Blue Cross Security Blue Medicare | $363 |
| Upmc Health Plan | Upmc Select | $378 |
| Highmark Choice Company (BCBS) | Blue Cross Managed Care Chip (81 & 12 | $392 |
| Aetna Health Inc | Aetna Health | $440 |
| Highmark Choice Company (BCBS) | Blue Cross Connect Blue EPO (86) | $524 |
| Highmark Choice Company (BCBS) | Blue Cross Community Blue (28) | $636 |
| Cigna | Cigna Healthcare | $648 |
| Highmark Choice Company (BCBS) | Blue Cross Commercial (20) | $655 |
| United Healthcare | United Healthcare All Payer | $834 |
| Upmc Health Plan | Upmc Commercial | $3,148 |
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