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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 planNegotiated 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