CT abdomen and pelvis with contrast at UPMC Washington. CPT 74177.
What UPMC Washington publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$973cash price (self-pay)
$1,390list price
$255–$1,001range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $255 |
| AmeriHealth Caritas | Medicaid | $303 |
| Highmark Wholecare (prev Gateway) | Medicaid | $303 |
| Aetna | CHIP/Medicaid | $316 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $317 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage/Security Blue Me | $327 |
| Senior Life | All | $340 |
| Aetna | Advantra Washington Prime | $340 |
| Aetna of PA | Medicare | $344 |
| Humana | Medicare | $344 |
| UPMC Health Plan | EPO Select Plan/HMO | $347 |
| Health Plan of Upper Ohio Valley | Medicare | $347 |
| Highmark Wholecare (prev Gateway) | Medicare | $359 |
| Highmark BCBS of PA | Managed Care - Social Mission | $377 |
| UPMC Health Plan | Managed Medicare | $473 |
| Highmark BCBS of PA | My Access Blue PPO/My Direct Blue | $530 |
| City of Washington | Commercial | $681 |
| Highmark BCBS of PA | Connect Blue EPO | $707 |
| Aetna of PA | Commercial | $732 |
| Aetna of PA | Auto/Workers Compensation | $742 |
| Highmark BCBS of PA | Community Blue PPO | $746 |
| Aetna of PA | Cofinity/FirstHealth | $765 |
| Highmark BCBS of PA | Commercial - Indemnity | $785 |
| Highmark BCBS of PA | Managed Care | $785 |
| Cigna | Commercial | $916 |
| Health Plan of Upper Ohio Valley | Commercial | $945 |
| Peak Health | Commercial | $973 |
| Coventry/First Health | Commercial | $1,001 |
Inpatient
$834cash price (self-pay)
$1,390list price
$973–$973range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peak Health | Commercial | $973 |
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