CT abdomen and pelvis with contrast at Riddle Memorial Hospital. CPT 74177.
What Riddle Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,236cash price (self-pay)
$5,590list price
$358–$1,122range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Ibc Advantage Medicare Managed Care - Hmo | $358 |
| Humana | Medicare Managed Care Plan | $366 |
| Health Partners/Jefferson Health | Medicare Managed Care Plan | $376 |
| Devoted Health | Medicare Managed Care Plan | $384 |
| Aetna | Advantra Medicare Managed Care Plan | $391 |
| Pa Health & Wellness | Dual Eligible Medicare Managed Care Plan | $394 |
| Highmark Wholecare | Medicare Managed Care Plan | $398 |
| Unitedhealthcare | Advantage Group Medicare Managed Care Plan | $400 |
| Geisinger Health | Medicare Managed Care Plan | $401 |
| Blue Cross | Dvaco Other Commercial Plan | $448 |
| Aetna | Custom - Pebtf/Rehp Hmo | $652 |
| Blue Cross | Ibc Hmo | $783 |
| Unitedhealthcare | All Commercial Plans | $828 |
| Cigna | All Commercial Plans | $844 |
| Aetna | Hmo | $870 |
| Aetna | Ppo | $870 |
| Blue Cross | Ibc Administrators Ppo | $1,122 |
| Blue Cross | Ibc Ppo | $1,122 |
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