CT abdomen and pelvis with contrast at MercyOne Clinton Medical Center. CPT 74177.
What MercyOne Clinton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,352cash price (self-pay)
$5,157list price
$9.09–$5,157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Medicaid | $324 |
| Wellpoint Medicaid | Wellpoint Medicaid | $326 |
| Blue Cross - Dc (Carefirst) | Wellmark PPO | $356 |
| Blue Cross - Co (Anthem) | Wellmark PPO | $356 |
| Blue Cross - FL | Wellmark PPO | $356 |
| Blue Shield - CA | Wellmark PPO | $356 |
| Blue Shield - Id (Regence) | Wellmark PPO | $356 |
| Blue Cross - Pa (Independence) | Wellmark PPO | $356 |
| Blue Shield - NY Highmark Western | Wellmark PPO | $356 |
| Blue Cross - Nj (Horizon) | Wellmark PPO | $356 |
| Blue Cross - Nm | Wellmark PPO | $356 |
| Blue Cross - NY (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Nv (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Nh (Anthem) | Wellmark PPO | $356 |
| Blue Cross - MA | Wellmark PPO | $356 |
| Blue Cross - Ms | Wellmark PPO | $356 |
| Blue Cross - Vt | Wellmark PPO | $356 |
| Blue Cross - Pa (Capital) | Wellmark PPO | $356 |
| Blue Cross - Ok | Wellmark PPO | $356 |
| Blue Cross - Or (Regence) | Wellmark PPO | $356 |
| Blue Distinction Transplant | Wellmark PPO | $356 |
| BCBS Generic | Wellmark PPO | $356 |
| Blue Cross - Wy | Wellmark PPO | $356 |
| Blue Cross - Federal | Wellmark PPO | $356 |
| Blue Cross - Wa (Premera) | Wellmark PPO | $356 |
| Blue Shield - Wa (Regence) | Wellmark PPO | $356 |
| Blue Cross - Tn | Wellmark PPO | $356 |
| Blue Cross - TX | Wellmark PPO | $356 |
| Blue Shield - Pa (Highmark) | Wellmark PPO | $356 |
| Blue Cross - Ri | Wellmark PPO | $356 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.