CT abdomen and pelvis with contrast at St Lukes Hospital Upper Bucks Campus. CPT 74177.
What St Lukes Hospital Upper Bucks Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$8,946cash price (self-pay)
$9,940list price
$263–$8,232range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First | Medicaid | $263 |
| Highmark Wholecare | Medicaid | $303 |
| Geisinger | Medicaid/CHIP | $311 |
| AmeriHealth Caritas | Medicaid | $316 |
| UPMC Health Plan | Medicaid | $316 |
| Capital Blue Cross | Medicare | $366 |
| Highmark | Medicare Advantage | $366 |
| Horizon BCBS NJ | Medicare | $366 |
| Independence Blue Cross | Medicare Advantage | $366 |
| Highmark | Freedom Blue Medicare Advantage | $369 |
| Aetna | Medicare | $373 |
| Geisinger | Medicare | $373 |
| Jefferson Health Plan | CHIP/Medicaid | $379 |
| Humana | Medicare | $380 |
| UPMC Health Plan | Medicare Advantage | $384 |
| United Healthcare | Medicare Advantage | $395 |
| Independence Blue Cross | HMO | $820 |
| Independence Blue Cross | PPO | $820 |
| Independence Blue Cross | Indemnity | $820 |
| Highmark | Commercial/Special Care | $1,263 |
| Oscar | Commercial | $2,579 |
| Cigna | Commercial | $2,721 |
| UPMC Health Plan | Commercial | $2,725 |
| Geisinger | Commercial | $2,794 |
| United Healthcare | Commercial | $2,873 |
| Aetna | Medical Rental | $3,419 |
| Aetna | Commercial | $3,469 |
| Capital Blue Cross | Commercial | $8,232 |
Inpatient
$8,946cash price (self-pay)
$9,940list price
$2,579–$2,795range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $2,579 |
| UPMC Health Plan | Commercial | $2,718 |
| Geisinger | Commercial | $2,795 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.