CT abdomen and pelvis with contrast at Mon Health Preston Memorial Hospital. CPT 74177.
What Mon Health Preston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$2,309cash price (self-pay)
$4,619list price
$103–$4,480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Unicare | Commercial | $103 |
| Advantra | Medicare | $2,771 |
| Aetna | Medicare | $2,771 |
| Blue_cross_highmark_medicare | Medicare | $2,771 |
| Health_plan_medicare | Medicare | $2,771 |
| Humana | Medicare | $2,771 |
| Uhc_va | Medicare | $2,771 |
| Upmc | Medicare | $2,910 |
| Health_plan_medicaid | Medicaid | $3,002 |
| Caresource_medicaid | Medicaid | $3,062 |
| Blue_cross_highmark_medicaid | Medicaid | $3,152 |
| Blue_cross_highmark_aca | Commercial | $3,360 |
| Blue_cross_highmark_pos | Commercial | $3,728 |
| Blue_cross_highmark_ppo | Commercial | $3,728 |
| Caresource_medicare | Medicare | $3,741 |
| Blue_cross_highmark_traditional | Commercial | $4,092 |
| AETNA_AUTO | commercial | $4,157 |
| Aetna_medical_rental | Commercial | $4,157 |
| UHC | Commercial | $4,157 |
| Cigna | Commercial | $4,249 |
| Geha | Commercial | $4,388 |
| 4_MOST | Commercial | $4,480 |
| Health | Commercial | $4,480 |
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