CT abdomen and pelvis with contrast at Jefferson Abington Hospital. CPT 74177.
What Jefferson Abington Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$99.44cash price (self-pay)
$1,550list price
$69.95–$1,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First PRO | JCP001 Abington Medicaid | $79.59 |
| Aetna Better Health PRO | JCP001 Abington CHIP | $109 |
| Jefferson Health Plan Medicaid PRO | JCP002 Aria NE Medicaid | $191 |
| Jefferson Health Plan Medicaid PRO | JUP001 University_Community Medic | $191 |
| Jefferson Health Plan CHIP PRO | JCP001 Abington CHIP | $191 |
| Jefferson Health Plan Medicaid PRO | JCP001 Abington Medicaid | $191 |
| Jefferson Health Plan Medicaid PRO | EHP001 Einstein Medicaid | $191 |
| JUP Geisinger Medicare | JCP001 Abington Medicare | $244 |
| Jefferson Health Plan ACA QHP Exchange | JAB001 Commercial Exchange | $293 |
| Innovage | JAB001 Medicare | $308 |
| Horizon Medicare Blue | JAB001 Medicare | $308 |
| Point of Comfort Refugee Resettlement | Commercial | $308 |
| St Agnes | Medicare | $308 |
| IBC Medicare | JAB001 Medicare | $308 |
| Inspira Life | JAB001 Medicare | $308 |
| VA_Champus_Tricare | JAB001 Military | $308 |
| Optum VA CCN | JAB001 VA CCN | $308 |
| Provider Partners Health Plan | JAB001 Medicare | $308 |
| United Healthcare Medicare | JAB001 AARP | $314 |
| Humana Medicare | JAB001 Medicare | $314 |
| Jefferson Health Plan Medicare | JAB001 Medicare | $314 |
| United Healthcare Medicare | Medicare ISNP | $314 |
| Cigna HealthSpring Medicare Adv | JAB001 Medicare | $320 |
| Highmark Medicare Advantage | JAB001 Medicare | $324 |
| Devoted Health Participation | JAB001 Medicare | $324 |
| Aetna Medicare Adv | JAB001 Medicare | $327 |
| Keystone First VIP Choice | JAB001 Medicare | $330 |
| United Healthcare Medicare | Medicare Group Retiree | $333 |
| UPMC Medicare Advantage | JAB001 Medicare | $339 |
| PA Health and Wellness Medicare | JAB001 Medicare | $339 |
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