CT abdomen and pelvis with contrast at Mercy Hospital Springfield. CPT 74177.
What Mercy Hospital Springfield publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$4,157cash price (self-pay)
$6,395list price
$184–$5,756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva [20065] | Hb Sprg Medicare | $343 |
| Cross Timbers Hospice [20098] | Hb Sprg Medicare | $343 |
| Indian Health Service [20198] | Hb Sprg Medicare | $343 |
| Humana Medicare Advantage [20194] | Hb Sprg Humana Medicare 100% | $343 |
| Aetna Medicare Advantage [20010] | Hb Sprg Medicare | $343 |
| BCBS Medicare Advantage [20047] | Hb Sprg Medicare | $343 |
| Medicare [20244] | Hb Sprg Medicare | $343 |
| Mercy Hospice Okc [20252] | Hb Sprg Medicare | $343 |
| Kindful Hospice [20434] | Hb Sprg Medicare | $343 |
| Halo Hcr Inc Hospice [20432] | Hb Sprg Medicare | $343 |
| Elara Caring Aspire Hospice [20433] | Hb Sprg Medicare | $343 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Sprg Medicare | $343 |
| Aetna Medicare Advantage Contracted [320010] | Hb Sprg Medicare | $343 |
| BCBS Medicare Advantage Contracted [320047] | Hb Sprg Medicare | $343 |
| Centurion [20459] | Hb Sprg Medicare | $343 |
| Globalhealth Contracted [320145] | Hb Sprg Medicare | $343 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Sprg Medicare | $343 |
| Cigna Medicare Advantage Contracted [320072] | Hb Sprg Medicare | $343 |
| Essence Healthcare Medicare Contracted [320122] | Hb Sprg Medicare | $343 |
| Indian Health Service Contracted [320198] | Hb Sprg Medicare | $343 |
| Humana Medicare Advantage Contracted [320194] | Hb Sprg Humana Medicar | $343 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Sprg Medicare | $343 |
| Qual Choice Contracted [320325] | Hb Sprg Medicare | $343 |
| United Healthcare Contracted [320396] | Hb Sprg Medicare | $343 |
| Tricare Contracted [320380] | Hb Sprg Tricare | $343 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Sprg UHC | $343 |
| Kindful Hospice Contracted [320434] | Hb Sprg Medicare | $343 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Sprg Medicare | $343 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Sprg Medicare | $343 |
| Mercy Rehab Hospital Contracted [320260] | Hb Sprg Medicare | $343 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.