CT abdomen and pelvis with contrast at Penn State Health Holy Spirit Medical Center. CPT 74177.

What Penn State Health Holy Spirit Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.

Outpatient / ER

$427cash price (self-pay)

$1,786list price

$222–$1,473range insurers pay

Insurance plan	Negotiated rate
[Aetna Better Health] \| [CHIP]	$222
[AmeriHealth Caritas] \| [MA]	$225
[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
[Geisinger] \| [Medicare]	$341
[Highmark] \| [CHIP]	$341
[Highmark Wholecare] \| [Medicare]	$341
[UHC] \| [Medicare]	$341
[Aetna] \| [Medicare]	$344
[Humana] \| [Medicare]	$344
[Health Partners Plans] \| [Medicare]	$348
[UPMC] \| [Medicare]	$348
[CBC] \| [Medicare]	$351
[PA Health & Wellness] \| [Medicare]	$351
[HealthSpring] \| [Medicare]	$358
[Point Comfort Underwriters] \| [Medicare]	$426
[Cbc] \| [Chip]	$644
[Upmc] \| [MA]	$644
[UHC] \| [Chip]	$679
[Upmc] \| [Chip]	$757
[CBC] \| [Comm]	$919
[UHC] \| [Comm]	$964
[Aetna] \| [Comm]	$1,001
[Aetna Signature Administrators] \| [Comm]	$1,016
[Highmark ACA] \| [Comm]	$1,179
[Highmark Choice Blue] \| [Comm]	$1,179

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