CT abdomen and pelvis with contrast at MercyOne Centerville Medical Center. CPT 74177.
What MercyOne Centerville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$5,637cash price (self-pay)
$5,637list price
$1,547–$5,637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $1,547 |
| Iowa Total Care | Iowa Total Care Medicaid | $1,552 |
| Molina Medicaid | Molina Medicaid | $1,575 |
| Wellpoint Medicaid | Wellpoint Medicaid | $1,583 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $1,618 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $1,635 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $1,651 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $1,667 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $1,698 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $1,733 |
| Amish Hospital Aid | Amish Hospital Aid | $2,174 |
| Ambetter | Ambetter Marketplace | $2,746 |
| Claimdoc | Claimdoc | $3,286 |
| Nova | Claimdoc | $3,286 |
| Geha | United Healthcare | $4,059 |
| United Healthcare | United Healthcare | $4,059 |
| Health Choices | Medical Associates | $4,307 |
| Medical Associates | Medical Associates | $4,307 |
| Christian Brother Services | Aetna | $5,282 |
| Trustmark Small Business Benefits | Aetna | $5,282 |
| Aetna Eap | Aetna | $5,282 |
| Lucent Health | Aetna | $5,282 |
| 1199 National Benefit Fund | Aetna | $5,282 |
| First Health | Aetna | $5,282 |
| Aetna Domestic | Aetna | $5,282 |
| Webtpa | Aetna | $5,282 |
| Meritain | Aetna | $5,282 |
| Medical Mutual | Aetna | $5,282 |
| Coventry | Aetna | $5,282 |
| Aetna | Aetna | $5,282 |
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