CT abdomen and pelvis with contrast at Penn State Health Hampden Medical Center. CPT 74177.
What Penn State Health Hampden Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$562cash price (self-pay)
$1,786list price
$290–$1,457range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| [AmeriHealth Caritas] | [MA] | $290 |
| [Highmark Wholecare] | [MA] | $290 |
| [Geisinger] | [CHIP] | $307 |
| [Health Partners Plans] | [CHIP] | $317 |
| [PA Health & Wellness] | [MA] | $319 |
| [Health Partners Plans] | [MA] | $327 |
| [Highmark] | [Medicare] | $338 |
| [AmeriHealth Caritas] | [Medicare] | $341 |
| [CBC] | [Medicare] | $341 |
| [Geisinger] | [Medicare] | $341 |
| [Highmark] | [CHIP] | $341 |
| [Highmark Wholecare] | [Medicare] | $341 |
| [UHC] | [Medicare] | $341 |
| [Aetna] | [Medicare] | $344 |
| [HealthSpring] | [Medicare] | $344 |
| [Humana] | [Medicare] | $344 |
| [Health Partners Plans] | [Medicare] | $348 |
| [UPMC] | [Medicare] | $348 |
| [PA Health & Wellness] | [Medicare] | $351 |
| [Point Comfort Underwriters] | [Medicare] | $426 |
| [Aetna Better Health] | [CHIP] | $459 |
| [Upmc] | [MA] | $644 |
| [UHC] | [Chip] | $666 |
| [Upmc] | [Chip] | $757 |
| [Cbc] | [Chip] | $758 |
| [CBC] | [Comm] | $892 |
| [UHC] | [Comm] | $964 |
| [Aetna] | [Comm] | $1,001 |
| [Aetna Signature Administrators] | [Comm] | $1,016 |
| [Highmark Choice Blue] | [Comm] | $1,166 |
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All common services at Penn State Health Hampden Medical Center