CT abdomen and pelvis with contrast at Lehigh Valley Hospital - Hazleton. CPT 74177.
What Lehigh Valley Hospital - Hazleton publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$293–$2,097range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Healthspring | $293 |
| United Healthcare | Managed Medicaid | $303 |
| United Healthcare | Chip | $303 |
| Geisinger | Managed Medicaid | $313 |
| Jefferson Health Partners | All Products | $345 |
| Geisinger | Medicare Advantage | $351 |
| Highmark Blue Shield | Medicare Advantage | $351 |
| Jefferson Health Partners | Managed Medicaid | $355 |
| Pa Health & Wellness | Managed Medicaid | $355 |
| Highmark Wholecare/Gateway | Managed Medicaid | $358 |
| Aetna | Medicare Advantage | $362 |
| Amerihealth | Medicare Advantage | $362 |
| Devoted Health | Medicare Advantage | $362 |
| Humana | Medicare Advantage | $362 |
| Jefferson Health Partners | Medicare Advantage | $362 |
| Upmc | Medicare Advantage | $365 |
| Emblem | Medicare Advantage | $372 |
| Gateway | Medicare Advantage | $376 |
| Pa Health & Wellness (Allwell) | Medicare Advantage | $379 |
| Aetna | Managed Medicaid | $382 |
| Amerihealth Caritas | Managed Medicaid | $382 |
| Upmc | Snp | $435 |
| Upmc | Managed Medicaid | $442 |
| Highmark Blue Shield | Chip | $645 |
| Geisinger | All Products | $805 |
| Highmark Blue Shield | Aca Narrow Network | $924 |
| Meshoppen Stone | All Products | $965 |
| Highmark Blue Shield | Tiered Products (Coalition) | $1,025 |
| Ambetter | All Products | $1,045 |
| Cigna | All Products | $1,064 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.