CT abdomen and pelvis with contrast at MercyOne Newton Medical Center. CPT 74177.
What MercyOne Newton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,664cash price (self-pay)
$5,637list price
$330–$5,637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - De (Highmark) | Wellmark PPO | $356 |
| Blue Cross - Ct (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Co (Anthem) | Wellmark PPO | $356 |
| Blue Shield - CA | Wellmark PPO | $356 |
| Blue Cross - CA (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Ar | Wellmark PPO | $356 |
| Blue Cross - Ak (Premera) | Wellmark PPO | $356 |
| Blue Cross - La | Wellmark PPO | $356 |
| Blue Cross - Ky (Anthem) | Wellmark PPO | $356 |
| Blue Shield - Id (Regence) | Wellmark PPO | $356 |
| Blue Cross - Id | Wellmark PPO | $356 |
| Blue Cross - Ga (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Hi | Wellmark PPO | $356 |
| Blue Cross - FL | Wellmark PPO | $356 |
| Blue Cross - Nv (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Mt | Wellmark PPO | $356 |
| Blue Cross - Ms | Wellmark PPO | $356 |
| Blue Cross - MA | Wellmark PPO | $356 |
| Blue Cross - Me (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Md (Carefirst) | Wellmark PPO | $356 |
| Blue Cross - IL | Wellmark PPO | $356 |
| Blue Cross - Ia (Wellmark) | Wellmark PPO | $356 |
| Blue Cross - Ia (Wellmark) | Wellmark HMO | $356 |
| Blue Cross - NY (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Nm | Wellmark PPO | $356 |
| Blue Cross - Nh (Anthem) | Wellmark PPO | $356 |
| Blue Cross - Nj (Horizon) | Wellmark PPO | $356 |
| Blue Cross - Mi | Wellmark PPO | $356 |
| Blue Cross - IL Alternate | Wellmark PPO | $356 |
| Blue Cross - Mn | Wellmark PPO | $356 |
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