CT abdomen and pelvis with contrast at UPMC Presbyterian. CPT 74177.
What UPMC Presbyterian publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$8,885cash price (self-pay)
$14,808list price
$231–$12,587range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $231 |
| UPMC Health Plan | Managed Medicaid | $289 |
| Aetna | CHIP/Medicaid | $342 |
| AmeriHealth Caritas | Medicare | $368 |
| Cigna Lifesource | Medicare Transplant | $368 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $368 |
| United Healthcare | Medicare | $368 |
| Aetna of PA | Medicare | $375 |
| Highmark Wholecare (prev Gateway) | Medicaid | $390 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $397 |
| Geisinger | Medicaid/CHIP | $410 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $416 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $448 |
| Highmark BCBS of PA | Medicare Advantage | $554 |
| UPMC Work Partners | Workers Comp | $559 |
| Multiplan | Worker's Compensation | $650 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,373 |
| Highmark BCBS of PA | Managed Care | $1,839 |
| Aetna | Medicare | $2,038 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,590 |
| Highmark BCBS of PA | Commercial - Indemnity | $3,468 |
| Highmark BCBS of PA | UPMC Emergent | $3,677 |
| Highmark Wholecare (prev Gateway) | Medicare | $3,886 |
| UPMC Health Plan | Commercial | $6,943 |
| Preferred Healthcare System | PPO | $9,625 |
| Coventry/First Health | Commercial | $10,366 |
| InterGroup | InterGroup Services Corporation | $11,106 |
| Fidelis | Medicare | $11,106 |
| Multiplan | PPO | $11,846 |
| Private Health Care Systems | PPO | $11,846 |
Inpatient
$8,885cash price (self-pay)
$14,808list price
$9,625–$12,587range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Healthcare System | PPO | $9,625 |
| Coventry/First Health | Commercial | $10,366 |
| InterGroup | InterGroup Services Corporation | $11,106 |
| Fidelis | Medicare | $11,106 |
| Multiplan | PPO | $11,846 |
| Private Health Care Systems | PPO | $11,846 |
| SelectCare | Commercial | $11,846 |
| Health Coalition Partners | Intergroup | $11,846 |
| Health Payors Organization | Commercial | $12,587 |
| Humana | Commercial | $12,587 |
| InterGroup | Approved National Affiliated PPO Business | $12,587 |
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