CT abdomen and pelvis with contrast at UPMC Green. CPT 74177.
What UPMC Green publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$973cash price (self-pay)
$1,390list price
$303–$765range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $303 |
| AmeriHealth Caritas | Medicaid | $310 |
| Aetna | CHIP/Medicaid | $316 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $317 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage/Security Blue Me | $327 |
| Senior Life | All | $340 |
| UPMC Health Plan | Managed Medicare | $340 |
| Humana | Medicare | $344 |
| Aetna of PA | Medicare | $344 |
| Highmark BCBS of PA | Managed Care - Social Mission | $373 |
| Highmark BCBS of PA | My Access Blue PPO/My Direct Blue | $509 |
| Aetna | Advantra Washington Prime | $556 |
| United Healthcare | Commercial | $626 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $678 |
| City of Washington | Commercial | $681 |
| Aetna of PA | Commercial | $732 |
| Aetna of PA | Auto/Workers Compensation | $742 |
| Aetna of PA | Cofinity/FirstHealth | $765 |
Inpatient
$834cash price (self-pay)
$1,390list price
—range insurers pay
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