CT abdomen and pelvis with contrast at Mercy Gilbert Medical Center. CPT 74177.
What Mercy Gilbert Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,682cash price (self-pay)
$6,838list price
$327–$5,265range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice | Medicaid|All Plans | $327 |
| United | Medicaid|All Plans | $327 |
| Mercy Care Plan | Medicaid|All Plans | $381 |
| Aetna | Medicare|All Plans | $381 |
| BCBS - AZ | Medicare|All Plans | $381 |
| Care 1st | Medicare|All Plans | $381 |
| Cigna | Medicare|All Plans | $381 |
| First Health | Medicare|All Plans | $381 |
| Health Choice | Medicare|All Plans | $381 |
| Humana | Medicare|All Plans | $381 |
| Mercy Care Plan | Medicare|All Plans | $381 |
| United | Medicare|All Plans | $390 |
| United | Commercial|All Other Plans | $824 |
| United | Commercial|Navigate | $824 |
| United | Commercial|Options PPO | $824 |
| United | Commercial|DignityHealthEmployee | $957 |
| Cigna | Commercial|Exchange | $1,012 |
| Cigna | Commercial|LocalPlus SureFit | $1,083 |
| Connected Care | Commercial|Intel | $1,151 |
| Cigna | Commercial|All Other Plans | $1,425 |
| Cigna | Commercial|PPO | $1,425 |
| Aetna | Commercial|All Other Plans | $2,726 |
| Aetna | Commercial|HMO | $2,726 |
| Aetna | Commercial|PPO | $2,726 |
| First Health | Commercial|All Plans | $3,693 |
| MultiPlan | Commercial|All Plans | $5,265 |
Inpatient
$1,682cash price (self-pay)
$6,838list price
$3,693–$5,265range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health | Commercial|All Plans | $3,693 |
| MultiPlan | Commercial|All Plans | $5,265 |
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