CT abdomen and pelvis with contrast at UPMC Altoona. CPT 74177.
What UPMC Altoona publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,738cash price (self-pay)
$4,563list price
$193–$4,307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $193 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $202 |
| UPMC Health Plan | Managed Medicaid | $212 |
| Geisinger | Medicaid | $268 |
| Highmark Wholecare (prev Gateway) | Medicaid | $286 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $291 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $301 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $328 |
| UPMC Work Partners | Workers Comp | $368 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $549 |
| Cigna | Commercial | $2,282 |
| Highmark Wholecare (prev Gateway) | Medicare | $2,282 |
| Preferred Healthcare System | PPO | $2,282 |
| United Healthcare | Commercial | $2,339 |
| Aetna | Commercial | $2,418 |
| Geisinger | Commercial | $2,510 |
| Private Health Care Systems | PPO | $3,650 |
| UPMC Health Plan | CHIP | $3,952 |
| UPMC Health Plan | Commercial | $4,307 |
Inpatient
$2,738cash price (self-pay)
$4,563list price
$2,282–$3,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Healthcare System | PPO | $2,282 |
| Private Health Care Systems | PPO | $3,650 |
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