CT abdomen and pelvis with contrast at Mercy Hospital. CPT 74177.
What Mercy Hospital publishes for this service, straight from its standard-charges file, last updated June 17, 2026.
Outpatient / ER
$864cash price (self-pay)
$1,799list price
$221–$1,512range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | BC PMAP (AMU) | $221 |
| Health Partners | HPI Medicare (AMU) | $325 |
| All Other Medicaid | All Other Medicaid (M) | $332 |
| Medicaid | Medicaid MA (M) | $332 |
| Allina Aetna Medicare (M) | Allina Aetna Medicare (M) | $342 |
| South Country Health Alliance | SCHA PMAP (M) | $342 |
| Health Partners | HPI PMAP (AMU) | $355 |
| Medicare Other | All Other Medicare (M) | $360 |
| Medicare | Medicare (M) | $360 |
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $362 |
| Medica | Medica Medicare (M) | $374 |
| BCBS | BC Medicare (M) | $378 |
| Hennepin Health | Hennepin Health (M) | $379 |
| Medica PMAP (UM) | Medica PMAP (UM) | $399 |
| South Country Health Alliance | SCHA MSHO (M) | $402 |
| UHC Ubh Pmap | UHC Ubh Pmap (M) | $415 |
| Health Partners | HPI (U M) | $417 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (MU) | $498 |
| Blue Cross Blue Shield of Minnesota | BC Premier (M U) | $529 |
| BCBS | Bc Aehp (Mu) | $622 |
| Medica Dual Solutions (E G) | Medica Dual Solutions (M) | $654 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $668 |
| Aetna | Aetna Elevate (AMU) | $735 |
| Aetna | Aetna Performance (AMU) | $788 |
| Blue Cross Blue Shield of Minnesota | BC AWARE/Blue Plus (A M U) | $815 |
| Health Partners | HPI CIGNA (MU) | $894 |
| Medica Health System | Medica Elect (U M) | $943 |
| Medica | Medica Essentials (U M) | $984 |
| Medica MHPS | Medica MHPS (U M) | $984 |
| Medica Health System | Medica Choice (U M) | $1,036 |
Inpatient
$864cash price (self-pay)
$1,799list price
$1,204–$1,512range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Americas PPO (Araz)(A M U) | Americas PPO (Araz)(A M U) | $1,204 |
| Medica UBH (M) | Medica UBH (M) | $1,260 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,512 |
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