CT abdomen and pelvis with contrast at UPMC Somerset. CPT 74177.
What UPMC Somerset publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$338cash price (self-pay)
$2,770list price
$222–$3,952range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $222 |
| UPMC Health Plan | Managed Medicaid | $289 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $302 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $337 |
| Highmark Wholecare (prev Gateway) | Medicaid | $338 |
| AmeriHealth Caritas | Medicare | $340 |
| United Healthcare | Medicare | $340 |
| UPMC Health Plan | Managed Medicare | $340 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $347 |
| Geisinger | Medicaid | $366 |
| Highmark Wholecare (prev Gateway) | Medicare | $368 |
| UPMC Work Partners | Workers Comp | $502 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $505 |
| Highmark BCBS of PA | Medicare Advantage | $543 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $639 |
| Geisinger | Commercial | $1,091 |
| Aetna of PA | TPA/Carrier | $1,108 |
| United Healthcare | Commercial | $1,194 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,385 |
| Galaxy Health Plan | Commercial | $1,800 |
| Humana | Commercial | $2,077 |
| UPMC Health Plan | Commercial | $2,973 |
| UPMC Health Plan | CHIP | $3,952 |
Inpatient
$338cash price (self-pay)
$2,770list price
$366–$3,732range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Galaxy Health Plan | Commercial | $1,800 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,800 |
| Humana | Commercial | $2,077 |
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