CT abdomen and pelvis with contrast at Lehigh Valley Hospital - Pocono. CPT 74177.
What Lehigh Valley Hospital - Pocono publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$289–$2,220range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Managed Medicaid | $289 |
| United Healthcare | Managed Medicaid | $303 |
| United Healthcare | Chip | $303 |
| Cigna | Healthspring | $310 |
| Aetna | Managed Medicaid | $342 |
| Jefferson Health Partners | Managed Medicaid | $355 |
| Pa Health & Wellness | Managed Medicaid | $355 |
| Highmark Wholecare/Gateway | Managed Medicaid | $358 |
| Jefferson Health Partners | All Products | $365 |
| Highmark Blue Shield | Medicare Advantage | $372 |
| Amerihealth Caritas | Managed Medicaid | $382 |
| Aetna | Medicare Advantage | $383 |
| Amerihealth | Medicare Advantage | $383 |
| Devoted Health | Medicare Advantage | $383 |
| Geisinger | Medicare Advantage | $383 |
| Humana | Medicare Advantage | $383 |
| Jefferson Health Partners | Medicare Advantage | $383 |
| Upmc | Medicare Advantage | $387 |
| Emblem | Medicare Advantage | $394 |
| Gateway | Medicare Advantage | $398 |
| Pa Health & Wellness (Allwell) | Medicare Advantage | $401 |
| Upmc | Managed Medicaid | $442 |
| Upmc | Snp | $461 |
| Highmark Blue Shield | Aca Narrow Network | $750 |
| Highmark Blue Shield | Tiered Products (Coalition) | $882 |
| Geisinger | All Products | $912 |
| Highmark Blue Shield | All Products | $980 |
| Meshoppen Stone | All Products | $1,022 |
| Highmark Blue Shield | Chip | $1,060 |
| Cigna | All Products | $1,064 |
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