CT abdomen and pelvis with contrast at Jefferson Bucks Hospital. CPT 74177.
What Jefferson Bucks Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$397cash price (self-pay)
$4,427list price
$193–$1,429range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP | $256 |
| IBC Medicare | JNE001 Medicare Focus | $295 |
| Jefferson Health Plan ACA QHP Exchange | JNE001 Commercial Exchange | $295 |
| PA Health and Wellness CHC | JNE001_JNE002_JNE003 CHC | $296 |
| Geisinger Medicaid | JNE001_JNE002_JNE003 Caid | $308 |
| Provider Partners Health Plan | JNE001 Medicare | $310 |
| Inspira Life | JNE001 Medicare | $310 |
| VA_Champus_Tricare | JNE001 Military | $310 |
| Horizon Medicare Blue | JNE001 Medicare | $310 |
| Innovage | JNE001 Medicare | $310 |
| Point of Comfort Refugee Resettlement | Commercial | $310 |
| St Agnes | Medicare | $310 |
| IBC Medicare | JNE001 Medicare | $310 |
| Optum VA CCN | JNE001 VA CCN | $310 |
| Humana Medicare | Medicare | $317 |
| Jefferson Health Plan Medicare | JNE001 Medicare | $317 |
| United Healthcare Medicare | Medicare ISNP | $317 |
| United Healthcare Medicare | JNE001 AARP | $317 |
| Cigna HealthSpring Medicare Adv | JNE001 Medicare | $323 |
| Devoted Health Participation | JNE001 Medicare | $326 |
| Highmark Medicare Advantage | JNE001 Medicare | $326 |
| Aetna Medicare Adv | JNE001 Medicare | $329 |
| Keystone First VIP Choice | JNE001 Medicare | $331 |
| United Healthcare Medicare | Medicare Group Retiree | $335 |
| PA Health and Wellness Medicare | JNE001 Medicare | $341 |
| UPMC Medicare Advantage | JNE001 Medicare | $341 |
| Geisinger Medicare Advantage | JNE001 Medicare | $357 |
| Perennial | JNE001 Medicare | $360 |
| Highmark Wholecare Gateway | JNE001 Medicare | $363 |
| IBC Employee Benefit | JNE001 Commercial | $388 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.