CT abdomen and pelvis with contrast at Penn State Health Milton S. Hershey Medical Center. CPT 74177.

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

Outpatient / ER

$592cash price (self-pay)

$1,786list price

$315–$1,990range insurers pay

Insurance plan	Negotiated rate
[AmeriHealth Caritas] \| [MA]	$315
[Highmark Wholecare] \| [MA]	$315
[CBC] \| [Medicare]	$321
[Geisinger] \| [CHIP]	$333
[Health Partners Plans] \| [CHIP]	$344
[PA Health & Wellness] \| [MA]	$346
[Health Partners Plans] \| [MA]	$355
[Highmark] \| [Medicare]	$366
[AmeriHealth Caritas] \| [Medicare]	$370
[Geisinger] \| [Medicare]	$370
[Highmark] \| [CHIP]	$370
[Highmark Wholecare] \| [Medicare]	$370
[Aetna] \| [Medicare]	$374
[HealthSpring] \| [Medicare]	$374
[Humana] \| [Medicare]	$374
[Health Partners Plans] \| [Medicare]	$377
[UHC] \| [Medicare]	$377
[UPMC] \| [Medicare]	$377
[PA Health & Wellness] \| [Medicare]	$381
[UHC SNP] \| [Medicare]	$385
[Aetna Better Health] \| [CHIP]	$441
[Point Comfort Underwriters] \| [Medicare]	$463
[Upmc] \| [MA]	$644
[UHC] \| [Chip]	$664
[Upmc] \| [Chip]	$757
[UHC] \| [Comm]	$964
[Cbc] \| [Chip]	$978
[Aetna] \| [Comm]	$1,001
[Aetna Signature Administrators] \| [Comm]	$1,016
[Cigna] \| [Comm]	$1,142

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All common services at Penn State Health Milton S. Hershey Medical Center