CT abdomen and pelvis with contrast at UPMC Jameson. CPT 74177.
What UPMC Jameson publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,755cash price (self-pay)
$4,591list price
$222–$4,040range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $222 |
| UPMC Health Plan | Managed Medicaid | $289 |
| Aetna | Medicaid | $297 |
| Aetna of PA | Medicare | $321 |
| Humana | Medicare | $340 |
| United Healthcare | Medicare | $340 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $342 |
| UPMC Health Plan | Managed Medicare | $355 |
| UPMC Health Plan | EPO Partners/Partners/Select | $356 |
| Geisinger | Medicaid/CHIP | $366 |
| AmeriHealth Caritas | Medicare | $368 |
| Cigna | Medicare | $368 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $368 |
| Occunet | Commercial | $426 |
| PA Health & Wellness | PA Medicaid HMO | $448 |
| UPMC Work Partners | Workers Comp | $502 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $558 |
| Cigna | Commercial | $670 |
| United Healthcare | Commercial | $763 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,332 |
| UPMC Health Plan | Commercial | $2,436 |
| Humana | Commercial | $3,673 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,673 |
| UPMC Health Plan | CHIP | $3,952 |
| National Provider Network | PPO | $4,040 |
Inpatient
$2,755cash price (self-pay)
$4,591list price
$3,443–$4,040range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,443 |
| Humana | Commercial | $3,673 |
| National Provider Network | PPO | $4,040 |
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