CT abdomen and pelvis with contrast at Northern Light Mercy Hospital. CPT 74177.
What Northern Light Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$981cash price (self-pay)
$3,772list price
$82.60–$2,874range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | MCR Advantage | $216 |
| Martin's Point | MCR Advantage | $220 |
| UHC | MCR Advantage | $220 |
| Wellcare | MCR Advantage | $220 |
| Aetna | MCR Advantage | $270 |
| Aetna | Commercial | $341 |
| UHC | Commercial | $354 |
| Anthem | Commercial | $415 |
| Anthem | Enhanced Pathways | $415 |
| Harvard | Commercial | $498 |
| Cigna | Commercial | $529 |
| CHO | Commercial | $1,367 |
Inpatient
$981cash price (self-pay)
$3,772list price
$2,452–$2,814range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $2,452 |
| Anthem | Enhanced Pathways | $2,452 |
| CHO | Commercial | $2,452 |
| UHC | Commercial | $2,644 |
| Aetna | Commercial | $2,746 |
| Cigna | Commercial | $2,814 |
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