CT abdomen and pelvis with contrast at Lower Bucks Hospital. CPT 74177.
What Lower Bucks Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$343cash price (self-pay)
$4,200list price
$193–$3,360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners Plan | Health Partners Plan Medicaid | $193 |
| Traditional Medicaid | Traditional Medicaid | $193 |
| Keystone | Keystone First Medicaid | $204 |
| One Call Care | One Call Care Commercial | $210 |
| One Call Care | One Call Care Workers Compensation | $210 |
| UHC | UHC Medicaid | $218 |
| Humana | Humana Tricare | $275 |
| Health Partners Plan | Health Partners Plan Medicare | $343 |
| Independence Blue Cross | IBC Medicare | $343 |
| PA Health & Wellness | PA Health & Wellness Medicare & Dual | $343 |
| Traditional Medicare | Traditional Medicare | $343 |
| Tricare | Tricare | $343 |
| UHC | UHC Medicare | $343 |
| UHC | UHC Va Ccn | $343 |
| Provider Patners Health Plan | Provider Partners Health Plan | $354 |
| Keystone | Keystone First Medicare | $357 |
| Ally-Align Medicare | Ally-Align Medicare | $360 |
| Spartan Plan PA | Spartan Plan PA | $360 |
| Auto Insurance | Auto Insurance | $378 |
| Worker Compensation | Worker Compensation | $388 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $412 |
| Employer Direct Healthcare | Employer Direct Healthcare | $480 |
| Health Partners Plan | Health Partners Plan Exchange | $515 |
| UHC | UHC Exchange | $552 |
| UHC | UHC Commercial All Payer | $733 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $764 |
| Independence Blue Cross | IBC HMO/PPO | $772 |
| Independence Blue Cross | IBC Indemnity | $772 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $830 |
| Independence Blue Cross | IBC PPACA | $848 |
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