CT abdomen and pelvis with contrast at Mercy Hospital Lincoln. CPT 74177.
What Mercy Hospital Lincoln publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$288cash price (self-pay)
$2,545list price
$28.80–$4,646range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare Medicaid [20265] | Hb Wash Jefn Linc Samc Molina Hea | $165 |
| Medicaid [20240] | Hb Wash Jefn Linc Samc Pcmh Stod IL Medicaid | $382 |
| Aetna Medicaid [20009] | Hb Wash Jefn Linc Samc Aetna Better Health Of | $382 |
| Humana Medicare Advantage [20194] | Hb Linc Medicare/Managed Mcr W/Seq | $599 |
| Cross Timbers Hospice [20098] | Hb Linc Medicare/Managed Mcr W/Seq 98. | $599 |
| Blue Cross And Blue Shield [20053] | Hb Linc Medicare/Managed Mcr W/Se | $599 |
| BCBS Medicare Advantage [20047] | Hb Linc Medicare/Managed Mcr W/Seq 9 | $599 |
| American Health Advantage Of Mo Mcr [10473] | Hb Linc Medicare/Managed | $599 |
| Halo Hcr Inc Hospice [20432] | Hb Linc Medicare/Managed Mcr W/Seq 98.1 | $599 |
| Kindful Hospice [20434] | Hb Linc Medicare/Managed Mcr W/Seq 98.1% | $599 |
| Elara Caring Aspire Hospice [20433] | Hb Linc Medicare/Managed Mcr W/S | $599 |
| Mercy Hospice Okc [20252] | Hb Linc Medicare/Managed Mcr W/Seq 98.1% | $599 |
| Medicare [20244] | Hb Linc Medicare/Managed Mcr W/Seq 98.1% | $599 |
| Humana Medicare Advantage Contracted [320194] | Hb Linc Medicare/Manag | $599 |
| Indian Health Service Contracted [320198] | Hb Linc Medicare/Managed M | $599 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Linc Medicare/ | $599 |
| Ambetter [20452] | Hb Linc Centene Exchange/Ambetter Eff 090118 | $1,168 |
| Home State Health Plan Contracted [320187] | Hb Linc Centene Exchange/ | $1,168 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Wash Jefn Linc Samc Cape | $1,209 |
| Health Choices [20448] | Hb Stlo Wash Jefn Linc Samc Health Choice New | $1,527 |
| First Health [20128] | Hb Pcmh Linc Aetna Coventry All Products | $1,667 |
| Aetna [20008] | Hb Pcmh Linc Aetna Coventry All Products | $1,667 |
| Blue Cross And Blue Shield [20053] | Hb Linc Anthem Blue Preferred Eff | $1,832 |
| Blue Cross And Blue Shield [20053] | Hb Linc Anthem Pathway/Exchange E | $1,857 |
| Blue Cross And Blue Shield [20053] | Hb Linc Anthem Blue Access | $1,908 |
| Blue Cross And Blue Shield [20053] | Hb Linc Anthem Blue Access Choice | $1,908 |
| Mc Anthem [20455] | Hb Linc Anthem Blue Access | $1,908 |
| Mc Anthem [20455] | Hb Linc Anthem Blue Access Choice | $1,908 |
| Workers Comp [20426] | Hb Linc Generic Work Comp Contract | $1,908 |
| Blue Cross And Blue Shield [20053] | Hb Linc Anthem Traditional Eff 09 | $1,959 |
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