CT abdomen and pelvis with contrast at Mercy Hospital Waldron. CPT 74177.
What Mercy Hospital Waldron publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$2,848cash price (self-pay)
$4,381list price
$189–$3,943range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Medicare Advantage Contracted [320477] | Hb Wldar Managed Mcr | $1,031 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Wld | $1,031 |
| Provider Partners Health Plans Contracted [320450] | Hb Wldar Managed | $1,031 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Wldar Managed Mcr | $1,031 |
| Kindful Hospice Contracted [320434] | Hb Wldar Managed Mcr | $1,031 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Wldar Managed Mcr | $1,031 |
| United Healthcare Contracted [320396] | Hb Wldar Managed Mcr | $1,031 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Wldar Uh | $1,031 |
| United Behavioral Health Medicare Advantage Contracted [320392] | Hb W | $1,031 |
| Qual Choice Contracted [320325] | Hb Wldar Managed Mcr | $1,031 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Wldar Novasys Mcr | $1,062 |
| Devoted Health Medicare Contracted [320500] | Hb Wldar Devoted Health | $1,073 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Wldar Healths | $1,083 |
| Tricare Contracted [320380] | Hb Wldar Tricare | $1,183 |
| Centivo Contracted [320505] | Hb Wldar Centivo Mcr | $1,702 |
| Ambetter Contracted [320452] | Hb Wldar Novasys Ambetter Exchange | $1,709 |
| Sunflower Health Plan Contracted [320369] | Hb Wldar Novasys Ambetter | $1,709 |
| Novasys Contracted [320285] | Hb Wldar Novasys Ambetter Exchange | $1,709 |
| Auxiant Contracted [320462] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec City | $2,629 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec Buchheit | $2,629 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Quiktrip Co | $2,629 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $3,724 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $3,724 |
| Reflect Health Contracted [320492] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv D | $3,724 |
| Ebms Contracted [320493] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Crader | $3,724 |
| Show-Me Health Administrators Contracted [320483] | Hb Wldar,Ozkar,Prs | $3,724 |
| Yuzu Health Contracted [320521] | Hb Wldar,Ozkar,Prsar,Bnvar, Bryvl De | $3,724 |
| Edison Health Solutions Contracted [320502] | Hb Wldar,Ozkar,Prsar,Bnv | $3,724 |
| Imagine 360 Contracted [320494] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec | $3,724 |
| Aither Health Contracted [320449] | Hb Wldar,Ozkar,Prsar,Bnvar Dec Woo | $3,724 |
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