CT abdomen and pelvis with contrast at UPMC East. CPT 74177.
What UPMC East publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$5,633cash price (self-pay)
$9,388list price
$289–$7,510range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $289 |
| United Healthcare Community Plan for Families | Unison Kids | $303 |
| UPMC Health Plan | Managed Medicare | $341 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $348 |
| United Healthcare | Unison Advantage Non Special Needs | $358 |
| Aetna of PA | Medicare | $358 |
| United Healthcare | Medicare | $364 |
| Geisinger | Medicaid/CHIP | $366 |
| Highmark Wholecare (prev Gateway) | Medicare | $368 |
| Cigna | Medicare | $368 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $368 |
| AmeriHealth Caritas | Medicare | $368 |
| United Healthcare | Unison Advantage Special Needs | $375 |
| Aetna | Medicare | $375 |
| Highmark Wholecare (prev Gateway) | Medicaid | $390 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $397 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411 |
| PA Health & Wellness | PA Medicaid HMO | $448 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $554 |
| UPMC Health Plan | Commercial | $1,087 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,233 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,603 |
| Highmark BCBS of PA | Managed Care | $1,652 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,147 |
| United Healthcare | Compass Exchange | $3,098 |
| Aetna | Neighborhood Network | $3,295 |
| Highmark BCBS of PA | UPMC Emergent | $3,303 |
| Aetna | EBR FI | $3,567 |
| Aetna | Home Depot Employer Group | $3,586 |
| Aetna | NBR ASO/FI | $3,661 |
Inpatient
$5,633cash price (self-pay)
$9,388list price
$3,192–$7,510range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $3,192 |
| Aetna | Neighborhood Network | $3,380 |
| Aetna | EBR FI | $3,567 |
| Aetna | Home Depot Employer Group | $3,680 |
| Aetna | EBR ASO | $3,755 |
| Aetna | NBR ASO/FI | $3,755 |
| Cigna | Commercial | $3,755 |
| Cigna | New Business ASO | $3,755 |
| Cigna | EBR | $3,755 |
| Cigna | NBR ASO/FI | $3,755 |
| United Healthcare | All Business | $3,755 |
| InterGroup | PPO | $4,694 |
| Coventry/First Health | Commercial | $6,572 |
| Private Health Care Systems | PPO | $7,510 |
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