CT abdomen and pelvis with contrast at CHI Health Mercy Corning. CPT 74177.

What CHI Health Mercy Corning publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$3,359cash price (self-pay)

$6,998list price

$3,009–$6,858range insurers pay

Insurance plan	Negotiated rate
United \| Medicaid\|Community Plan	$3,009
BCBS - NE \| Medicare\|All Plans	$3,009
Humana \| Medicare\|All Plans	$3,009
Medica \| Medicare\|All Plans	$3,009
PACE \| Medicare\|All Plans	$3,009
United \| Medicare\|All Plans	$3,009
Amerigroup \| Medicaid\|All Plans	$3,069
Centene \| Medicaid\|IA Total Care	$3,069
Centene \| Medicare\|All Plans	$3,069
IAMolina \| Medicaid\|All Plans	$3,130
Amerigroup \| Medicare\|All Plans	$3,160
Great Plains \| Medicare\|All Plans	$3,160
Medica \| Commercial\|All Other Plans	$6,368
Medica \| Commercial\|CHI Health	$6,368
AMPS \| Commercial\|All Plans	$6,680
Greater Omaha Packing \| Commercial\|Broad Network	$6,718
Greater Omaha Packing \| Commercial\|Narrow Network	$6,718
Medica \| Commercial\|ACO	$6,718
Medica \| Commercial\|Open Access	$6,718
Midlands Choice \| Commercial\|Premier	$6,718
Midlands Choice \| Commercial\|Standard	$6,718
Millard Public Schools \| Commercial\|Broad Network	$6,718
Millard Public Schools \| Commercial\|Narrow Network	$6,718
One World \| Commercial\|Broad Network	$6,718
One World \| Commercial\|Narrow Network	$6,718
QuikTrip \| Commercial\|All Plans	$6,718
Timpte \| Commercial\|Broad Network	$6,718
MultiPlan \| Commercial\|All Plans	$6,858
PHCS \| Commercial\|All Plans	$6,858
United \| Commercial\|All Plans	$6,858

$3,359cash price (self-pay)

$6,998list price

$4,199–$6,858range insurers pay

Insurance plan	Negotiated rate
Wellmark \| Commercial\|HMO	$4,199
Wellmark \| Commercial\|PPO	$4,199
Medica \| Commercial\|All Other Plans	$6,368
Medica \| Commercial\|CHI Health	$6,368
Greater Omaha Packing \| Commercial\|Broad Network	$6,718
Greater Omaha Packing \| Commercial\|Narrow Network	$6,718
Medica \| Commercial\|ACO	$6,718
Medica \| Commercial\|Open Access	$6,718
Midlands Choice \| Commercial\|Premier	$6,718
Midlands Choice \| Commercial\|Standard	$6,718
Millard Public Schools \| Commercial\|Broad Network	$6,718
Millard Public Schools \| Commercial\|Narrow Network	$6,718
One World \| Commercial\|Broad Network	$6,718
One World \| Commercial\|Narrow Network	$6,718
QuikTrip \| Commercial\|All Plans	$6,718
Timpte \| Commercial\|Broad Network	$6,718
MultiPlan \| Commercial\|All Plans	$6,858
PHCS \| Commercial\|All Plans	$6,858
United \| Commercial\|All Plans	$6,858

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