CT abdomen and pelvis with contrast at Mercy Rehabilitation Hospital Northwest Arkansas. CPT 74177.
What Mercy Rehabilitation Hospital Northwest Arkansas publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Inpatient
$5,582cash price (self-pay)
$5,582list price
$4,410–$5,582range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Phcs | Phcs | $4,410 |
| Multiplan | Multiplan | $4,745 |
| Aetna | Aetna | $5,582 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $5,582 |
| ABCBS Medicare Advantage | ABCBS Medicare Advantage | $5,582 |
| Abcbs | Abcbs | $5,582 |
| ALLWELL Medicare Advantage | ALLWELL Medicare Advantage | $5,582 |
| Ambetter | Ambetter | $5,582 |
| American Health Plan | American Health Plan | $5,582 |
| Arkansas Total Care (Passe) | Arkansas Total Care (Passe) | $5,582 |
| Qualchoice | Qualchoice | $5,582 |
| CIGNA Medicare Advantage | CIGNA Medicare Advantage | $5,582 |
| Cigna | Cigna | $5,582 |
| Devoted | Devoted | $5,582 |
| Essence | Essence | $5,582 |
| HUMAMA Medicare Advantage | HUMAMA Medicare Advantage | $5,582 |
| Municipal League | Municipal League | $5,582 |
| Tricare - Humana Military | Tricare - Humana Military | $5,582 |
| UNITED HEALTHCARE Medicare Advantage | UNITED HEALTHCARE Medicare Adva | $5,582 |
| Umr-United Healthcare | Umr-United Healthcare | $5,582 |
| United Healthcare | United Healthcare | $5,582 |
| Vaccn | Vaccn | $5,582 |
| Summit (Passe) | Summit (Passe) | $5,582 |
| Care Source (Passe) | Care Source (Passe) | $5,582 |
| Empower | Empower | $5,582 |
| Medicaid | Medicaid | $5,582 |
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All common services at Mercy Rehabilitation Hospital Northwest Arkansas