CT abdomen and pelvis with contrast at St Lukes Hospital Geisinger Campus. CPT 74177.
What St Lukes Hospital Geisinger Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$8,731cash price (self-pay)
$9,701list price
$303–$3,357range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare | Medicaid | $303 |
| AmeriHealth Caritas | Medicaid | $305 |
| Geisinger | Medicaid/CHIP | $311 |
| UPMC Health Plan | Medicaid | $316 |
| Capital Blue Cross | Medicare | $356 |
| Highmark | Freedom Blue Medicare Advantage | $359 |
| Aetna | Medicare | $363 |
| Geisinger | Medicare | $363 |
| Humana | Medicare | $370 |
| UPMC Health Plan | Medicare Advantage | $373 |
| United Healthcare | Medicare Advantage | $384 |
| Highmark | Commercial | $1,029 |
| Capital Blue Cross | Commercial | $1,803 |
| Geisinger | GHP Marketplace | $2,422 |
| Geisinger | Commercial | $2,496 |
| United Healthcare | Commercial | $2,648 |
| UPMC Health Plan | Commercial | $2,664 |
| Cigna | Commercial | $2,741 |
| Aetna | Medical Rental | $3,298 |
| Aetna | Commercial | $3,357 |
Inpatient
$8,731cash price (self-pay)
$9,701list price
$2,427–$2,671range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | GHP Marketplace | $2,427 |
| Geisinger | Commercial | $2,502 |
| United Healthcare | Commercial | $2,619 |
| UPMC Health Plan | Commercial | $2,661 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.