CT abdomen and pelvis with contrast at Jefferson Einstein Philadelphia Hospital. CPT 74177.
What Jefferson Einstein Philadelphia Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$419cash price (self-pay)
—list price
$251–$3,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA | Health | $251 |
| Geisinger | Medicaid | $261 |
| United | Healthcare | $287 |
| Health | Partners | $345 |
| Jefferson | Health | $346 |
| IBC | Medicare | $355 |
| US | Family | $356 |
| Humana | Medicare | $364 |
| Trinity | Health | $364 |
| Devoted | Health | $364 |
| Keystone | First | $375 |
| United | Medicare | $377 |
| Cigna | Medicare | $379 |
| UPMC | Medicare | $382 |
| Provider | Partners | $382 |
| Highmark | Medicare | $382 |
| Aetna | Medicare | $386 |
| Advantra | Medicare | $386 |
| United | Group | $393 |
| Highmark | Wholecare | $401 |
| Wellcare | Medicare | $401 |
| Geisinger | Medicare | $419 |
| UPMC | Medicaid | $458 |
| IBC | Proactive | $510 |
| Ambetter | Commercial | $528 |
| Ibc | HMO | $634 |
| Cigna | Commercial | $674 |
| Aetna | Commercial | $697 |
| Highmark | ACA | $802 |
| Cigna | PPO | $809 |
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All common services at Jefferson Einstein Philadelphia Hospital