CT abdomen and pelvis with contrast at Mercy Hospital Columbus. CPT 74177.
What Mercy Hospital Columbus publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$3,076cash price (self-pay)
$4,732list price
$189–$4,495range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Mnck Ok Medicaid | $189 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Mnck Ok Med | $189 |
| Humana Medicaid Contracted [320486] | Hb Mnck Ok Medicaid | $189 |
| BCBS Medicaid Contracted [320046] | Hb Mnck Managed Mo Medicaid | $304 |
| Home State Medicaid Contracted [320189] | Hb Mnck Managed Mo Medicaid | $304 |
| Medicaid [20240] | Hb Mnck Mo Medicaid | $304 |
| United Healthcare Medicaid Contracted [320397] | Hb Mnck Managed Mo Me | $304 |
| Mo Medicaid Bh Carve Out [320315] | Hb Mnck Mo Medicaid | $304 |
| Nhc Advantage Medicare Contracted [320282] | Hb Jopl Nhc Advantage Mcr | $360 |
| BCBS Medicaid Contracted [320046] | Hb Mnck Ks Medicaid | $572 |
| Kancare Contracted [320213] | Hb Mnck UHC Ks Medicaid | $572 |
| Kancare Contracted [320213] | Hb Mnck Ks Medicaid | $572 |
| Medicaid [20240] | Hb Mnck Ks Medicaid | $572 |
| Kancare [20213] | Hb Mnck UHC Ks Medicaid | $572 |
| Kancare [20213] | Hb Mnck Ks Medicaid | $572 |
| Mc Generic Anthem [20456] | Hb Mnck Blue Cross Kansas Choice/PPO | $595 |
| Mc Anthem [20455] | Hb Mnck Blue Cross Kansas Choice/PPO | $595 |
| Blue Cross And Blue Shield [20053] | Hb Mnck Blue Cross Kansas Choice/ | $595 |
| Blue Cross And Blue Shield [20053] | Hb Mnck Blue Cross Kansas Traditi | $626 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Mnck Managed Mcr | $1,301 |
| Novasys Contracted [320285] | Hb Mnck Ambetter Exchange | $1,301 |
| Qual Choice Contracted [320325] | Hb Mnck Managed Mcr 100% | $1,301 |
| Sunflower Health Plan Contracted [320369] | Hb Mnck Ambetter Exchange | $1,301 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Mnck Man | $1,301 |
| Sunflower Health Plan Medicare Contracted [320370] | Hb Mnck Managed M | $1,301 |
| Tricare Contracted [320380] | Hb Mnck Tricare | $3,446 |
| Medica Contracted [320239] | Hb Casv/Mnck Medica Exchange | $4,240 |
| Mercy Benefit Admin Contracted [320251] | Hb Mnck Dec Clayco | $4,259 |
| Multiplan Contracted [320270] | Hb Mnck Phcs (Private Healthcare Syste | $4,495 |
| Mercy Benefit Admin Contracted [320251] | Hb Mnck Dec Quiktrip Co | $4,495 |
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