CT abdomen and pelvis with contrast at Shriners Children's Philadelphia. CPT 74177.
What Shriners Children's Philadelphia publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$3,558cash price (self-pay)
$3,558list price
$206–$502range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon Blue Cross Blue Shield of NJ | Commercial | $226 |
| Soonercare | Managed Medicaid | $254 |
| Aetna Better Health of PA | Managed Medicaid | $263 |
| AmeriHealth Mercy Health Plans | Managed Medicaid | $263 |
| Centene PA Health and Wellness | Mgd. Medicaid | $263 |
| Gateway Health Plan | Managed Medicaid | $263 |
| Geisinger Health Plan | Commercial | $263 |
| Health Partners of Philadelphia | Mgd. Medicaid | $263 |
| Keystone Mercy Health Plans | Managed Medicaid | $263 |
| UPMC Health Plan | Managed Medicaid | $263 |
| Cigna | Commercial | $306 |
| Centene Absolute Total Care | Managed Medicaid | $358 |
| Humana SC | Managed Medicaid | $358 |
| Aetna Better Health of MI | Managed Medicaid | $358 |
| Centene Magnolia Health Services | Mgd. Medicaid | $358 |
| Centene Wellcare of KY | Managed Medicaid | $358 |
| United Healthcare | Nat | $382 |
| AmeriHealth Caritas NC | Marketplace Medicare | $412 |
| AmeriHealth Caritas SC | Medicare | $412 |
| Centene Ambetter | Centene Ambetter | $412 |
| Independence Blue Cross | Commercial | $432 |
| Aetna National | Commercial | $447 |
| Providence Health Plan | Commercial | $460 |
| Sana Benefits | Commercial | $502 |
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