CT abdomen and pelvis with contrast at Mercy Hospital Ozark. CPT 74177.
What Mercy Hospital Ozark publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$2,668cash price (self-pay)
$4,105list price
$189–$3,695range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Ozkar Ok Medicaid | $189 |
| Summit Community Care Contracted [320368] | Hb Ozkar Summit | $206 |
| Summit Community Care [20368] | Hb Ozkar Ark Medicaid | $206 |
| Medicaid [20240] | Hb Ozkar Ark Medicaid | $206 |
| Caresource Medicaid Contracted [320460] | Hb Ozkar Caresource Medicaid | $210 |
| Caresource Medicaid [20460] | Hb Ozkar Caresource Medicaid | $210 |
| Empower Healthcare Solutions Medicaid [20118] | Hb Ozkar Passe Empower | $262 |
| Empower Healthcare Solutions Medicaid Contracted [320118] | Hb Ozkar P | $262 |
| Usable Contracted [320409] | Hb Wldar,Ozkar,Prsar BCBS Comm/Exchange | $367 |
| Blue Cross And Blue Shield [20053] | Hb Wldar,Ozkar,Prsar BCBS Comm/Ex | $367 |
| Mc Anthem [20455] | Hb Wldar,Ozkar,Prsar BCBS Comm/Exchange | $367 |
| Novasys Contracted [320285] | Hb Ftsm Novasys | $397 |
| Arkansas Total Care Contracted [320039] | Hb Ozkar Passe Ar Total Care | $468 |
| United Medical Resources Contracted [320454] | Hb Ftsm,Wldar,Ozkar,Prs | $859 |
| United Healthcare Contracted [320396] | Hb Ftsm,Wldar,Ozkar,Prsar,Bnvr | $859 |
| United Healthcare [20396] | Hb Ftsm,Wldar,Ozkar,Prsar,Bnvr UHC | $859 |
| Optum Health Behavioral Solutions [520250] | Hb Ftsm,Wldar,Ozkar,Prsar | $859 |
| Medica Medicare Advantage Contracted [320477] | Hb Ozkar Managed Medic | $1,128 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ozk | $1,128 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ozkar Managed Med | $1,128 |
| Kindful Hospice Contracted [320434] | Hb Ozkar Managed Medicare | $1,128 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ozkar Managed Medicare | $1,128 |
| Devoted Health Medicare Contracted [320500] | Hb Ozkar Devoted Health | $1,173 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ozkar Healths | $1,184 |
| Qual Choice Contracted [320324] | Hb Ftsm,Wldar,Ozkar,Prsar, Bnvar Qua | $1,586 |
| Centivo Contracted [320505] | Hb Ozkar Centivo Mcr | $1,860 |
| Auxiant Contracted [320462] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec City | $2,463 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec Buchheit | $2,463 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $3,489 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $3,489 |
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