CT abdomen and pelvis with contrast at UPMC Muncy. CPT 74177.
What UPMC Muncy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$4,453cash price (self-pay)
$7,422list price
$247–$7,051range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $247 |
| Geisinger | Medicaid/CHIP | $289 |
| UPMC Health Plan | CHIP | $289 |
| UPMC Health Plan | Managed Medicaid | $289 |
| Highmark Wholecare (prev Gateway) | Medicaid | $293 |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $297 |
| AmeriHealth Caritas | Medicaid | $297 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $448 |
| UPMC Work Partners | Workers Comp | $502 |
| Three Rivers Provider Network | All | $537 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,113 |
| UPMC Health Plan | Managed Medicare | $1,113 |
| AmeriHealth Caritas | Medicare | $1,147 |
| Cigna | Medicare | $1,169 |
| United Healthcare | Medicare | $1,191 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $1,202 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,911 |
| Aetna | PEBTF Custom Network | $3,010 |
| UPMC Health Plan | Commercial | $3,236 |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,428 |
| Aetna | Commercial | $3,540 |
| Coventry/First Health | Commercial | $3,718 |
| Wirerope Works | Commercial | $4,127 |
| Aetna | First Health | $4,899 |
| Geisinger | Commercial | $4,973 |
| Coventry/First Health | FH-Medical Rental | $4,995 |
| United Healthcare | Commercial | $5,077 |
| Cigna | Commercial | $5,084 |
| Multiplan | Auto | $5,789 |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,789 |
Inpatient
$4,453cash price (self-pay)
$7,422list price
$2,208–$7,051range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Medicare | $2,208 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $2,316 |
| Aetna | PEBTF Custom Network | $3,180 |
| Aetna | Commercial | $3,741 |
| Coventry/First Health | Commercial | $3,926 |
| Wirerope Works | Commercial | $4,127 |
| Aetna | First Health | $4,899 |
| Coventry/First Health | FH-Medical Rental | $4,995 |
| United Healthcare | Commercial | $5,077 |
| Cigna | Commercial | $5,084 |
| Multiplan | Auto | $5,789 |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,789 |
| America's Choice | PPO | $5,938 |
| InterGroup | PPO | $5,938 |
| Three Rivers Provider Network | All | $6,680 |
| Multiplan | Worker's Compensation | $7,051 |
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