CT abdomen and pelvis with contrast at Mercy Fitzgerald Hospital. CPT 74177.
What Mercy Fitzgerald Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4,241cash price (self-pay)
$6,524list price
$260–$6,524range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid | Aetna Better Health Medicaid | $260 |
| Jefferson Health Plans Medicaid | Health Partners Medicaid | $287 |
| Upmc Medicaid Advantage | Upmc Health Plan Medicaid | $289 |
| United Healthcare Medicaid | UHC Community Plan Medicaid | $317 |
| Cigna Medicare Advantage | Cigna Healthspring Medicare Advantage | $362 |
| Align Senior Care | Ally Align Health | $366 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $367 |
| Keystone First Chc Medicare Advantage | Keystone First Medicare Advant | $369 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $379 |
| Jefferson Health Plans Medicare | Health Partners Medicare Advantage | $380 |
| Health Partners Medicare Advantage | Health Partners Medicare Advantag | $380 |
| Allwell Medicare Advantage | Pa Health & Wellness Medicare Advantage | $387 |
| Allwell Pa Health & Wellness Medicare Advantage | Pa Health & Wellness | $387 |
| Allwell Pa Health & Wellness Medicaid Advantage | Pa Health And Wellne | $395 |
| Highmark Wholecare Medicare Advantage | Highmark Wholecare Medicare Ad | $412 |
| Upmc Medicare Advantage | Upmc Health Plan Medicare Advantage | $412 |
| Health America Advantra | Health America Medicare Advantage | $430 |
| Coventry Medicare Advantage | Coventry Advantra Medicare Advantage | $430 |
| Ambetter | Ambetter Marketplace | $640 |
| Oscar Medicare Advantage | Oscar Medicare Advantage | $645 |
| Oscar | Oscar Medicare Advantage | $645 |
| Prime Healthcare | Prime Healthcare | $645 |
| Jefferson Health Plan Commercial | Jefferson Health Plan | $652 |
| Homestead Health Plans Woods Center | Homestead Health Plan Medicare A | $699 |
| Keystone First Chc Medicaid | Keystone Medicaid | $752 |
| Keystone First Chip | Keystone Medicaid | $752 |
| Keystone First | Keystone Medicaid | $752 |
| Reedman Toll | Reedman Toll Management Group | $806 |
| Cigna | Cigna Exchange | $876 |
| Upmc Health Plan | Cigna | $948 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.