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CT abdomen and pelvis with contrast at Penn Highlands Mon Valley. CPT 74177.

What Penn Highlands Mon Valley publishes for this service, straight from its standard-charges file, last updated February 2, 2026.

Outpatient / ER

$85.80cash price (self-pay)
$1,443list price
$33.14–$5,299range insurers pay
Insurance planNegotiated rate
Upmc | Chip$70.43
Aetna | MCD Advantage$70.43
Geisinger | MCD Advantage$70.43
Jefferson Health | MCD Advantage$70.43
Traditional Medicaid | Traditional Medicaid$70.43
UPMC | MCD Advantage$175
Blue Cross | Community Blue MCR ADV$186
Blue Cross | Complete Blue MCR ADV$186
Blue Cross | Freedom Blue MCR ADV$188
Blue Cross | Highmark - ACA$198
Blue Cross | Highmark - All Social Mission$198
Blue Cross | Highmark - Indemnity$198
Blue Cross | Highmark - Managed Care$198
Blue Cross | Highmark - My Blue Access PPO$198
Blue Cross | Highmark - Performance Blue$198
Traditional Medicare | Traditional Medicare$198
Upmc | HMO EPO$202
UPMC | MCR Advantage$202
Geisinger | MCR Advantage$204
Humana | MCR Advantage$204
UHC | MCR Advantage$204
Aetna | MCR Advantage$214
Blue Cross | Security Blue MCR ADV$216
Aetna | Coventry$218
UPMC | Commercial$307
Aetna | Commercial$576
UHC | Commercial$1,154

Inpatient

$85.80cash price (self-pay)
$1,443list price
$64.35–$1,946range insurers pay
Insurance planNegotiated rate
Aetna | Coventry$649
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All common services at Penn Highlands Mon Valley