CT abdomen and pelvis with contrast at Mercy General Hospital. CPT 74177.
What Mercy General Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,042cash price (self-pay)
$9,367list price
$247–$7,494range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hill Physicians | Commercial|All Plans | $247 |
| United | Medicaid|< 21 | $282 |
| United | Medicaid|> 21 | $282 |
| Hill Physicians | Medicaid|All Plans | $310 |
| Hill Physicians | Medicare|All Plans | $361 |
| BCBS - Anthem | Medicare|All Other Plans | $443 |
| Humana | Commercial|All Plans | $469 |
| Aetna | Medicare|All Plans | $469 |
| Blue Shield CA | Medicare|HMO | $469 |
| Blue Shield CA | Medicare|PPO | $469 |
| Kaiser | Medicare|All Plans | $469 |
| Molina | Medicare|All Plans | $469 |
| United | Medicare|All Plans | $469 |
| BCBS - Anthem | Medicare|Imperial | $483 |
| BrightHealth | Commercial|All Plans | $516 |
| Molina | Medicaid|All Plans | $530 |
| BCBS - Anthem | Medicaid|All Plans | $535 |
| California Health & Wellness | Medicaid|All Plans | $654 |
| Health Net | Medicaid|All Plans | $654 |
| Prison Healthcare | Medicaid|All Plans | $704 |
| United | Commercial|All Other Plans | $828 |
| United | Commercial|HMO | $828 |
| United | Commercial|Non-Options PPO | $828 |
| Aetna | Commercial|All Other Plans | $864 |
| Aetna | Commercial|HMO | $864 |
| Aetna | Commercial|PPO | $864 |
| Partnership Health Plan | Medicaid|All Plans | $1,212 |
| BCBS - Anthem | Commercial|Connection EPO | $2,740 |
| Western Health Advantage | Commercial|All Plans | $3,278 |
| BCBS - Anthem | Commercial|All Other Plans | $3,425 |
Inpatient
$2,042cash price (self-pay)
$9,367list price
$6,744–$7,494range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial|All Plans | $6,744 |
| First Health | Commercial|All Plans | $7,025 |
| MultiPlan | Commercial|All Plans | $7,494 |
| Sutter Health | Commercial|All Plans | $7,494 |
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