CT abdomen and pelvis with contrast at UPMC Hamot. CPT 74177.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$6,946cash price (self-pay)
$11,576list price
$211–$9,261range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $289 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $303 |
| Aetna | Medicaid | $316 |
| Geisinger | Medicaid/CHIP | $366 |
| Highmark Wholecare (prev Gateway) | Medicaid | $390 |
| Fidelis | Medicare | $393 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $397 |
| UPMC Health Plan | Partners/Select | $401 |
| Wellcare | Medicare Advantage | $405 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411 |
| BCBS of Western NY | Medicare Advantage | $413 |
| United Healthcare | Medicare | $420 |
| Cigna | Medicare | $424 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $424 |
| AmeriHealth Caritas | Medicare | $424 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $448 |
| BCBS of Western NY | Commercial | $472 |
| UPMC Work Partners | Workers Comp | $502 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $549 |
| Independent Health | Medicare Advantage | $567 |
| United Healthcare | Commercial | $693 |
| Independent Health | Commercial | $755 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $1,658 |
| Univera | Univera_Medicare_Hamot_2024 | $1,736 |
| UPMC Health Plan | Commercial | $1,974 |
| Aetna | Medicare | $2,516 |
| Highmark BCBS of PA | UPMC Emergent | $2,653 |
| Aetna | Commercial | $2,894 |
| Highmark Wholecare (prev Gateway) | Medicare | $3,106 |
| Cigna | New Business ASO | $3,473 |
Inpatient
$6,946cash price (self-pay)
$11,576list price
$3,126–$9,261range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $3,126 |
| Cigna | New Business ASO | $3,473 |
| Cigna | NBR ASO/FI | $3,473 |
| Univera | Commercial | $3,820 |
| Cigna | Commercial | $4,630 |
| Cigna | EBR | $4,630 |
| InterGroup | Health Coalition Partners/PPO | $7,524 |
| Aetna | AXA/MMO | $8,103 |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,103 |
| InterGroup | Beech Street | $9,261 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $9,261 |
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