CT abdomen and pelvis with contrast at West Virginia University Hospitals. CPT 74177.
What West Virginia University Hospitals publishes for this service, straight from its standard-charges file, last updated July 10, 2026.
Outpatient / ER
$1,520cash price (self-pay)
$3,039list price
$64.86–$890range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Health Options West VA | Mgd MCaid | $64.86 |
| Wellpoint West Virginia | Mgd MCaid | $64.86 |
| Wellpoint WV | CHIP | $64.86 |
| The Health Plan WV | Mgd MCaid | $65.79 |
| Aetna | Better Health Mgd Medicaid | $66.09 |
| Aetna Better Health WV | CHIP | $66.09 |
| The Health Plan WV | CHIP | $66.09 |
| Highmark Health Options | CHIP | $202 |
| UPMC For You Medicaid | UPMC For You Medicaid | $202 |
| Pennsylvania Health and Wellness | Mgd Medicaid | $212 |
| UPMC For Kids | CHIP | $212 |
| AmeriHealth Caritas PA | Medicaid | $216 |
| Highmark WholeCare Pennsylvania Medicaid | Highmark WholeCare Pennsylv | $218 |
| Geisinger Pennsylvania | Mgd Medicaid | $231 |
| Highmark PA Medicare Advantage | HMO | $336 |
| Molina OH Medicare Advantage | All Plans | $336 |
| Peak Health Medicare Advantage | All Plans | $336 |
| United Mine Workers of America Medicare Advantage | United Mine Worker | $336 |
| Highmark Wholecare PA Medicare Advantage | All Pla | $346 |
| Highmark WV Medicare Advantage | All Plans | $349 |
| Aetna Medicare Advantage | All Plans | $353 |
| Buckeye OH Medicare Advantage | All Plans | $353 |
| Humana Medicare Advantage | All Plans | $353 |
| PA Health & Wellness Medicare Advantage | All Plan | $353 |
| UPMC For Life Medicare Advantage | All Plans | $353 |
| Geisinger PA Medicare Advantage | All Plans | $356 |
| The Health Plan WV Medicare Advantage | All Plans | $356 |
| Valor Health Medicare Advantage | All Plans | $356 |
| WV Senior Advantage | ISNP | $356 |
| UnitedHealthcare Medicare Advantage | All Plans | $366 |
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