CT abdomen and pelvis with contrast at Penn Medicine Lancaster General Health. CPT 74177.
What Penn Medicine Lancaster General Health publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,609cash price (self-pay)
$2,609list price
$193–$13,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $193 |
| Medicaid Managed Generic | Medicaid Managed Generic | $193 |
| United Healthcare | United Healthcare Medicaid MCO | $212 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $222 |
| Gateway | Highmark Wholecare Medicaid (fka Gateway Medicaid) | $225 |
| Keystone First Medicaid | Keystone First Medicaid | $229 |
| Geisinger Medicaid | Geisinger Medicaid | $318 |
| Tricare | Tricare | $319 |
| UPMC for You | UPMC Medicaid | $393 |
| Independence Blue Cross | Independence Blue Cross Commercial | $443 |
| Hospice and Community Care | Hospice and Community Care | $496 |
| Cigna | Cigna | $567 |
| Cigna | Cigna New Business | $635 |
| Old Order Group | Old Order Group | $704 |
| LG Coresource/LG Eliance | LG Employee Insurance | $744 |
| Lancashire Hall | Lancashire Hall | $783 |
| Nursing Home OP Services | Nursing Home OP Services | $783 |
| Affilia Home Health | Affilia Home Health Lancaster | $1,044 |
| Masonic Homes | Masonic Homes | $1,096 |
| United Healthcare | United Healthcare Commercial | $1,128 |
| Aetna | Aetna Commercial | $1,189 |
| Highmark | Highmark CHIP | $1,265 |
| Highmark | Highmark ACA | $1,520 |
| Eliance Health Solutions | Eliance Commercial | $1,670 |
| Highmark Commercial Preferred | Highmark Commercial Preferred | $1,745 |
| Capital Blue Cross | CBC Commercial | $1,916 |
| Ehp | Ehp | $2,139 |
| UPMC Commercial | UPMC Commercial | $2,139 |
| Highmark | Highmark Commercial | $2,172 |
| Devon | Devon | $2,218 |
Inpatient
$2,609cash price (self-pay)
$2,609list price
$744–$2,609range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LG Coresource/LG Eliance | LG Employee Insurance | $744 |
| Old Order Group | Old Order Group | $835 |
| Eliance Health Solutions | Eliance Commercial | $1,670 |
| Cigna | Cigna | $1,969 |
| Ehp | Ehp | $2,139 |
| Devon | Devon | $2,218 |
| Geisinger Commercial | Geisinger Commercial | $2,218 |
| Independence Blue Cross | Independence Blue Cross Commercial | $2,218 |
| Intergroup Services | Intergroup Services | $2,218 |
| Preferred Healthcare | PHC | $2,218 |
| United Healthcare | United Healthcare Commercial | $2,218 |
| UPMC Commercial | UPMC Commercial | $2,218 |
| Medi-share Christian Care | PHCS Multiplan | $2,479 |
| Affilia Home Health | Affilia Home Health Lancaster | $2,609 |
| Commercial Generic | Commercial Generic | $2,609 |
| Highmark | Highmark ACA | $2,609 |
| Highmark | Highmark CHIP | $2,609 |
| Highmark | Highmark Commercial | $2,609 |
| Highmark Commercial Non-Preferred | Highmark Commercial Non-Preferred | $2,609 |
| Highmark Commercial Preferred | Highmark Commercial Preferred | $2,609 |
| Lancashire Hall | Lancashire Hall | $2,609 |
| Magellan | Magellan | $2,609 |
| Masonic Homes | Masonic Homes | $2,609 |
| United Behavioral Health | United Behavioral Health | $2,609 |
| Value Options | Value Options | $2,609 |
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All common services at Penn Medicine Lancaster General Health