CT abdomen and pelvis with contrast at UPMC Childrens. CPT 74177.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$6,929cash price (self-pay)
$11,549list price
$331–$10,394range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Upper Ohio Valley | Medicare | $340 |
| AmeriHealth Caritas | Medicare | $368 |
| Cigna | Medicare | $368 |
| UPMC Health Plan | Managed Medicaid | $607 |
| Aetna | Medicaid | $680 |
| United Healthcare Community Plan for Families | PA Medicaid | $765 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $986 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,018 |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,062 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,067 |
| Geisinger | Medicaid/CHIP | $1,082 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,563 |
| Aetna | Medicare | $1,631 |
| Highmark BCBS of PA | Managed Care | $1,838 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,997 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,349 |
| Highmark BCBS of PA | Medicare | $3,068 |
| UPMC Health Plan | CHIP | $3,952 |
| United Healthcare | Compass Exchange | $4,620 |
| Aetna | Narrow Network | $4,885 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4,904 |
| UPMC Health Plan | Managed Medicare | $4,904 |
| Geisinger | Commercial | $5,191 |
| Aetna | Fully Insured | $5,428 |
| Cigna | New Business ASO | $5,428 |
| Cigna | NBR ASO/FI | $5,428 |
| United Healthcare | All Business | $5,428 |
| Aetna | Commercial | $6,352 |
| Cigna | Commercial | $6,352 |
| Cigna | EBR | $6,352 |
Inpatient
$6,929cash price (self-pay)
$11,549list price
$4,620–$10,394range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $4,620 |
| Aetna | Narrow Network | $4,885 |
| Geisinger | Commercial | $5,191 |
| Aetna | Fully Insured | $5,428 |
| Cigna | New Business ASO | $5,428 |
| Cigna | NBR ASO/FI | $5,428 |
| United Healthcare | All Business | $5,428 |
| Aetna | Commercial | $6,352 |
| Cigna | Commercial | $6,352 |
| Cigna | EBR | $6,352 |
| InterGroup | PPO | $8,662 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $9,239 |
| Saudi Armed Forces | Commercial | $9,239 |
| Health Payors Organization | Commercial | $9,817 |
| Multiplan | Commercial/Worker's Compensation | $9,817 |
| National Provider Network | PPO | $10,394 |
| Private Health Care Systems | PPO | $10,394 |
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