CT abdomen and pelvis with contrast at Mercy Hospital Berryville. CPT 74177.
What Mercy Hospital Berryville publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$2,972cash price (self-pay)
$4,572list price
$189–$4,343range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare Contracted [320380] | Hb Bryv Tricare | $1,189 |
| Provider Partners Health Plans Contracted [320450] | Hb Bryv Managed M | $1,301 |
| Medica Medicare Advantage Contracted [320477] | Hb Bryv Managed Medica | $1,301 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Bryv UHC | $1,301 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Bryv Managed Medicare | $1,301 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Bryv Managed Medi | $1,301 |
| Kindful Hospice Contracted [320434] | Hb Bryv Managed Medicare | $1,301 |
| Qual Choice Contracted [320325] | Hb Bryv Managed Medicare | $1,301 |
| Nhc Advantage Medicare Contracted [320282] | Hb Bryv Managed Medicare | $1,301 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Bry | $1,301 |
| Essence Healthcare Medicare Contracted [320122] | Hb Bryv Managed Medi | $1,301 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Bryv Managed Medicare | $1,301 |
| Sunflower Health Plan Medicare Contracted [320370] | Hb Bryv Allwell 1 | $1,340 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Bryv Allwell 103% | $1,340 |
| Novasys Medicare Contracted [320286] | Hb Bryv Allwell 103% Mcr HMO | $1,340 |
| Devoted Health Medicare Contracted [320500] | Hb Bryv Devoted Mcr | $1,353 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Bryv Healthsp | $1,366 |
| Ambetter Contracted [320452] | Hb Bryv Ambetter Exchange Mo | $1,772 |
| Sunflower Health Plan Contracted [320369] | Hb Bryv Ambetter Exchange | $1,772 |
| Novasys Contracted [320285] | Hb Bryv Novasys Ambetter | $1,852 |
| Centivo Contracted [320505] | Hb Bryv Centivo Mcr | $2,146 |
| Auxiant Contracted [320462] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec City | $2,743 |
| Preferred Health Plan Contracted [320522] | Hb Bryv Network Affliation | $2,972 |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB BRYV Health Systems | $3,658 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $3,886 |
| Show-Me Health Administrators Contracted [320483] | Hb Aura Bryv Cthg | $3,886 |
| United Medical Resources Contracted [320454] | Hb Bryv Liberty Utiliti | $3,886 |
| Auxiant Contracted [320462] | Hb Bryv Dec Buchheit | $3,886 |
| Aither Health Contracted [320449] | Hb Wldar,Ozkar,Prsar,Bnvar, Bryvl | $3,886 |
| Aither Health Contracted [320449] | Hb Bryv Dec Woodard | $3,886 |
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