CT abdomen and pelvis with contrast at UPMC Horizon-Greenville. CPT 74177.
What UPMC Horizon-Greenville publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$4,109cash price (self-pay)
$6,848list price
$289–$5,821range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $289 |
| UPMC Health Plan | Managed Medicare | $305 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $351 |
| Aetna | Medicare | $351 |
| United Healthcare Community Plan for Families | Unison Kids | $358 |
| United Healthcare Community Plan for Families | Unison MedPLUS | $358 |
| Aetna of PA | Medicare | $358 |
| United Healthcare | Medicare | $364 |
| Geisinger | Medicaid/CHIP | $366 |
| AmeriHealth Caritas | Medicare | $368 |
| Cigna | Medicare | $368 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $368 |
| Highmark Wholecare (prev Gateway) | Medicaid | $390 |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $395 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $397 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $448 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $639 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $1,067 |
| UPMC Health Plan | Commercial | $1,101 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,315 |
| United Healthcare | Compass Exchange | $2,260 |
| Anthem Blue Cross Blue Shield | Traditional | $2,335 |
| Aetna | Neighborhood Network | $2,534 |
| Aetna | Home Depot Employer Group | $2,616 |
| Aetna | NBR ASO/FI | $2,671 |
| Cigna | New Business ASO | $2,671 |
| Cigna | NBR ASO/FI | $2,671 |
| United Healthcare | All Business | $2,671 |
| Aetna | EBR ASO | $2,739 |
Inpatient
$4,109cash price (self-pay)
$6,848list price
$2,328–$5,821range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $2,328 |
| Aetna | Neighborhood Network | $2,602 |
| Aetna | Home Depot Employer Group | $2,684 |
| Aetna | EBR ASO | $2,739 |
| Aetna | NBR ASO/FI | $2,739 |
| Cigna | Commercial | $2,739 |
| Cigna | New Business ASO | $2,739 |
| Cigna | EBR | $2,739 |
| Cigna | NBR ASO/FI | $2,739 |
| United Healthcare | All Business | $2,739 |
| Anthem Blue Cross Blue Shield | Traditional | $3,123 |
| Aetna | EBR FI | $4,109 |
| InterGroup | PPO | $4,451 |
| Coventry/First Health | Commercial | $4,520 |
| Private Health Care Systems | PPO | $5,478 |
| Prime Net | Commercial | $5,615 |
| Humana | Commercial | $5,821 |
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