CT abdomen and pelvis with contrast at Punxsutawney Area Hospital. CPT 74177.
What Punxsutawney Area Hospital publishes for this service, straight from its standard-charges file, last updated March 2, 2026.
Outpatient / ER
$152cash price (self-pay)
$422list price
$49.15–$7,902range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | UPMC CHIP | $148 |
| Highmark Wholecare | Highmark Wholecare Medicaid | $190 |
| UnitedHealthcare Insurance Company | United Medicaid | $212 |
| UnitedHealthcare Insurance Company | United CHIP | $212 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicaid | $212 |
| UPMC Health Plan | UPMC Medicaid | $223 |
| Cigna | Cigna | $251 |
| Geisinger Health Plan | Geisinger Medicaid | $254 |
| Geisinger Health Plan | Geisinger CHIP | $254 |
| Centene Corporation | PA H and W Medicaid | $260 |
| UnitedHealthcare Insurance Company | United | $270 |
| Tricare | Tricare | $274 |
| UnitedHealthcare Insurance Company | United Medicare | $276 |
| Highmark Wholecare | Highmark Wholecare Medicare | $310 |
| Highmark | Highmark MCR Community/Complete Blue | $311 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicare | $317 |
| Aetna Medicare | Aetna Medicare | $319 |
| Highmark | Highmark MCR Freedom Blue | $320 |
| UnitedHealthcare Insurance Company | VA CCN Optum | $322 |
| United Mine Workers of America | UMWA | $322 |
| Geisinger Health Plan | Geisinger Medicare | $323 |
| Highmark | Highmark MCR Security Blue | $329 |
| UPMC Health Plan | UPMC Medicare | $331 |
| Centene Corporation | PA H and W Medicare | $339 |
| Humana Inc. | Humana Medicare | $358 |
| UPMC Health Plan | UPMC | $422 |
| PA Workers Compensation | PA Workers Compensation | $422 |
| Highmark | Highmark CHIP / Social Mission | $477 |
| PA Health and Wellness Commercial | PA Health and Wellness Commercial | $539 |
| Highmark | Highmark Performance Blue | $582 |
Inpatient
$173cash price (self-pay)
$422list price
—range insurers pay
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