CT abdomen and pelvis with contrast at Lehigh Valley Hospital. CPT 74177.
What Lehigh Valley Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$270–$18,571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Healthspring | $310 |
| Geisinger | Managed Medicaid | $329 |
| Jefferson Health Partners | Managed Medicaid | $355 |
| Pa Health & Wellness | Managed Medicaid | $355 |
| Capital Blue Cross | Medicare Advantage | $365 |
| Ibc | Medicare Advantage | $365 |
| Jefferson Health Partners | All Products | $365 |
| Optum Health | Medicare Advantage | $365 |
| Highmark Blue Shield | Medicare Advantage | $372 |
| Geisinger | Medicare Advantage | $376 |
| Highmark Wholecare/Gateway | Managed Medicaid | $379 |
| Aetna | Managed Medicaid | $382 |
| Keystone First | Managed Medicaid | $382 |
| Aetna | Medicare Advantage | $383 |
| Amerihealth | Medicare Advantage | $383 |
| Devoted Health | Medicare Advantage | $383 |
| Humana | Medicare Advantage | $383 |
| Jefferson Health Partners | Medicare Advantage | $383 |
| Emblem | Medicare Advantage | $394 |
| Amerihealth Caritas | Managed Medicaid | $428 |
| Jefferson Employees | All Products | $456 |
| Highmark Blue Shield | Chip | $716 |
| Optum Health | All Products | $730 |
| Capital Blue Cross | Chip | $877 |
| Geisinger | Marketplace | $886 |
| Highmark Blue Shield | Aca Narrow Network | $900 |
| Meshoppen Stone | All Products | $1,022 |
| Ambetter | All Products | $1,107 |
| Highmark Blue Shield | Tiered Products (Coalition) | $1,119 |
| Cigna | PPO | $1,128 |
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