CT abdomen and pelvis with contrast at Jefferson Moss-Magee Rehabilitation Hospital – Center City. CPT 74177.
What Jefferson Moss-Magee Rehabilitation Hospital – Center City publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$419cash price (self-pay)
$3,296list price
$251–$1,336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Health and Wellness CHC | JMR001 CHC | $296 |
| Aetna Better Health | JMR001 CHIP | $307 |
| Geisinger Medicaid | JMR001 Caid | $308 |
| Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $311 |
| Inspira Life | JMR001 Medicare | $328 |
| Optum VA CCN | JMR001 VA CCN | $328 |
| Point of Comfort Refugee Resettlement | JMR001 | $328 |
| St Agnes | Medicare | $328 |
| Innovage | JMR001 Medicare | $328 |
| Highmark Wholecare Gateway | JMR001 Medicare | $328 |
| United Healthcare Rehabilitation | JMR001 Dual SNP | $328 |
| United Healthcare Rehabilitation | JMR001 AARP | $334 |
| United Healthcare Rehabilitation | JMR001 Erikson | $334 |
| Humana Medicare | JMR001 Medicare | $334 |
| Jefferson Health Plan Medicare | JMR001 Medicare | $334 |
| Keystone First VIP Choice | JMR001 Medicare | $341 |
| Cigna HealthSpring Medicare Adv | JMR001 Medicare | $341 |
| Highmark Medicare Advantage | JMR001 Medicare | $344 |
| Devoted Health Participation | JMR001 Medicare | $344 |
| UPMC CHC Medicaid | JMR001 Caid CHC | $345 |
| Provider Partners Health Plan | JMR001 Medicare | $351 |
| United Healthcare Rehabilitation | JMR001 Medicare Adv | $354 |
| PA Health and Wellness Medicare | JMR001 Medicare | $361 |
| UPMC Medicare Advantage | JMR001 Medicare | $367 |
| Geisinger Medicare Advantage | JMR001 Medicare | $377 |
| Perennial | JMR001 Medicare | $380 |
| IBC Employee Benefit | JMR001 Commercial | $410 |
| IBC Main Line Health | JMR001 Commercial | $410 |
| Keystone First | JMR001 Caid CHIP | $426 |
| PA Health and Wellness Commercial | JMR001 Exchange | $475 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Jefferson Moss-Magee Rehabilitation Hospital – Center City