CT abdomen and pelvis with contrast at Pottstown Hospital. CPT 74177.
What Pottstown Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$1,544cash price (self-pay)
$6,175list price
$231–$6,052range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid & CHIP | $231 |
| Health Partners | Medicaid & CHIP | $241 |
| PA Health and Wellness | Medicaid & CHIP | $241 |
| Gateway | Medicaid | $270 |
| UPMC | Medicaid | $270 |
| Aetna | Better Health CHIP | $328 |
| Upmc | Chip | $385 |
| Independence Blue Cross | All Exchange Plans | $1,004 |
| Independence Blue Cross | All Other Commercial Plans | $1,004 |
| Capital Blue Cross | All Commercial Plans | $1,491 |
| Keystone First | Medicaid | $2,208 |
| UPMC | All Commercial Plans | $4,631 |
| Aetna | All Commercial Plans | $5,249 |
| First Health | All Commercial Plans | $5,558 |
| Devon | All Commercial Plans | $6,052 |
Inpatient
$1,544cash price (self-pay)
$6,175list price
$4,631–$6,052range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC | All Commercial Plans | $4,631 |
| First Health | All Commercial Plans | $5,558 |
| Devon | All Commercial Plans | $6,052 |
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