CT abdomen and pelvis with contrast at Holy Redeemer Hospital. CPT 74177.
What Holy Redeemer Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$842cash price (self-pay)
$1,404list price
$230–$1,221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicaid & CHIP | $230 |
| United Healthcare | Commercial | $232 |
| Keystone Family Health Plan | Managed Medicaid | $350 |
| Independence Blue Cross | Medicare Advantage | $353 |
| Health Partners | Medicare Advantage | $367 |
| Aetna | Medicare Advantage | $371 |
| Cigna HealthSpring | Medicare Advantage | $371 |
| Highmark | Wholecare | $373 |
| Jefferson Health Plan | HMO/PPO | $525 |
| Independence Blue Cross | HMO PPACA | $832 |
| Independence Blue Cross | HMO | $910 |
| Independence Blue Cross | PPO | $910 |
| Cigna | Commercial | $1,081 |
| Aetna | Commercial | $1,221 |
Inpatient
$842cash price (self-pay)
$1,404list price
—range insurers pay
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