CT abdomen and pelvis with contrast at UPMC Passavant-McCandless. CPT 74177.
What UPMC Passavant-McCandless publishes for this service, straight from its standard-charges file, last updated March 7, 2026.
Outpatient / ER
$5,437cash price (self-pay)
$9,061list price
$289–$7,702range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $289 |
| United Healthcare Community Plan for Families | Unison Kids | $303 |
| UPMC Health Plan | Managed Medicare | $316 |
| Health Plan of Upper Ohio Valley | Medicare | $340 |
| Health Plan of Upper Ohio Valley | Medicaid | $340 |
| United Healthcare | Unison Advantage Non Special Needs | $358 |
| Aetna of PA | Medicare | $358 |
| Highmark Wholecare (prev Gateway) | Medicare | $368 |
| AmeriHealth Caritas | Medicare | $368 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $368 |
| United Healthcare | Unison Advantage Special Needs | $375 |
| Aetna | Medicare | $375 |
| Highmark Wholecare (prev Gateway) | Medicaid | $390 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411 |
| PA Health & Wellness | PA Medicaid HMO | $448 |
| UPMC Work Partners | Workers Comp | $502 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $554 |
| Private Health Care Systems | Workers' Comp | $584 |
| UPMC Health Plan | Commercial | $1,097 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,233 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,537 |
| Highmark BCBS of PA | Managed Care | $1,652 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,059 |
| Cigna | New Business ASO | $3,081 |
| Highmark BCBS of PA | UPMC Emergent | $3,303 |
| Cigna | Commercial | $3,624 |
| Health Plan of Upper Ohio Valley | Commercial | $4,186 |
| Coventry/First Health | Commercial | $6,343 |
| InterGroup | PPO | $7,521 |
| Humana | Commercial | $7,702 |
Inpatient
$5,437cash price (self-pay)
$9,061list price
$3,262–$8,427range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Business ASO | $3,262 |
| Cigna | Commercial | $3,624 |
| Coventry/First Health | Commercial | $6,343 |
| InterGroup | PPO | $8,155 |
| Humana | Commercial | $8,427 |
| Multiplan | PPO (Includes Workers' Comp) | $8,427 |
| Private Health Care Systems | PPO | $8,427 |
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