CT abdomen and pelvis with contrast at Warren General Hospital. CPT 74177.
What Warren General Hospital publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$257cash price (self-pay)
$1,564list price
$89.95–$2,957range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | Tricare | $222 |
| Golden Living Centers Kinzua | Golden Living Centers Kinzua | $318 |
| Highmark Medicare | Highmark Medicare | $374 |
| MEDICARE ADVANTAGE 100% | MEDICARE ADVANTAGE 100 PerCent | $374 |
| NON CONTRACTED (100% POM) | NON CONTRACTED (100 PerCent POM) | $374 |
| UHC MCR (100% POM) | UHC MCR (100 PerCent POM) | $374 |
| MEDICARE ADVANTAGE 101% | MEDICARE ADVANTAGE 101 PerCent | $377 |
| Pa Health & Wellness | Pa Health Wellness | $381 |
| DAVITA MCR (145% POM) | DAVITA MCR (145 PerCent POM) | $542 |
| Rouse Home | Rouse Home | $547 |
| Warren Co Jail | Warren Co Jail | $547 |
| BCBS Highmark | BCBS Highmark | $716 |
| Self-Pay | Self-Pay | $782 |
| Univera Medicare PPO | UNIVERA MEDICARE PPO | $782 |
| Warren State Hospital | Warren State Hospital | $782 |
| Department Of Veterans Affairs | Department Of Veterans Affairs | $860 |
| Cigna | CIGNA | $938 |
| Apostrophe | Apostrophe | $1,028 |
| Independent Health | Independent Health | $1,064 |
| Univera Healthcare PPO | UNIVERA HEALTHCARE PPO | $1,173 |
| Upmc | Upmc | $2,957 |
Inpatient
$257cash price (self-pay)
$1,564list price
$89.95–$1,952range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rouse Home | Rouse Home | $547 |
| Warren Co Jail | Warren Co Jail | $547 |
| Self-Pay | Self-Pay | $782 |
| Warren State Hospital | Warren State Hospital | $782 |
| Department Of Veterans Affairs | Department Of Veterans Affairs | $860 |
| Cigna | CIGNA | $938 |
| Independent Health | Independent Health | $1,064 |
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