CT abdomen and pelvis with contrast at UPMC Williamsport. CPT 74177.
What UPMC Williamsport 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–$5,938range 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 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $297 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $344 |
| UPMC Health Plan | Managed Medicare | $347 |
| AmeriHealth Caritas | Medicare | $351 |
| United Healthcare | Medicare | $364 |
| Highmark Wholecare (prev Gateway) | Medicare | $368 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $368 |
| Highmark Wholecare (prev Gateway) | Medicaid | $370 |
| PA Health & Wellness | PA Medicaid HMO | $448 |
| UPMC Work Partners | Workers Comp | $502 |
| Three Rivers Provider Network | All | $537 |
| Multiplan | Worker's Compensation | $554 |
| Aetna | Medicare | $2,004 |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,953 |
| Aetna | PEBTF Custom Network | $3,010 |
| UPMC Health Plan | Commercial | $3,236 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,478 |
| 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 |
Inpatient
$4,453cash price (self-pay)
$7,422list price
$3,180–$6,680range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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 |
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