CT abdomen and pelvis with contrast at Indiana Regional Medical Center. CPT 74177.
What Indiana Regional Medical Center publishes for this service, straight from its standard-charges file, last updated February 24, 2026.
Outpatient / ER
$1,913cash price (self-pay)
$5,314list price
$222–$5,314range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare Insurance Company | United Medicaid | $222 |
| Highmark Wholecare | Highmark Wholecare Medicaid | $247 |
| Premier Comp Solutions, LLC | Premier Comp Solutions | $250 |
| Geisinger Health Plan | Geisinger CHIP | $254 |
| Geisinger Health Plan | Geisinger - Medicaid | $254 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicaid | $254 |
| Centene Corporation | PA H and W Medicaid | $260 |
| UPMC Health Plan | UPMC Medicaid | $275 |
| UnitedHealthcare Insurance Company | United CHIP | $289 |
| Highmark | Highmark MCR Freedom Blue | $302 |
| Highmark | Highmark MCR Community/Complete Blue | $311 |
| Humana Inc. | Humana Medicare | $317 |
| Aetna | Aetna Medicare | $322 |
| Highmark Wholecare | Highmark Wholecare Medicare | $322 |
| UnitedHealthcare Insurance Company | VA CCN Optum | $322 |
| United Mine Workers of America | UMWA | $322 |
| Medicare Senior Life | Medicare Senior Life | $322 |
| Centene Corporation | PA H and W Medicare | $333 |
| Geisinger Health Plan | Geisinger - Medicare | $333 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicare | $333 |
| Highmark | Highmark MCR Security Blue | $338 |
| Highmark | Highmark CHIP / Social Mission | $386 |
| UPMC Health Plan | UPMC Medicare | $400 |
| Cigna | Cigna | $629 |
| Highmark | Highmark ACA / My Direct Blue / My Blue Access PPO | $650 |
| Highmark | Highmark Comm Managed/Indemnity | $690 |
| PA Health and Wellness Commercial | PA Health and Wellness Commercial | $706 |
| Geisinger | Geisinger | $706 |
| Aetna | Aetna | $1,114 |
| UPMC Health Plan | UPMC CHIP | $1,375 |
Inpatient
$1,913cash price (self-pay)
$5,314list price
$5,314–$5,314range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Miscellaneous Commercial | Miscellaneous Commercial | $5,314 |
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