CT abdomen and pelvis with contrast at Mercy Hospital Stoddard. CPT 74177.
What Mercy Hospital Stoddard publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$2,374cash price (self-pay)
$3,653list price
$304–$3,653range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Stod Mo Medicaid | $304 |
| BCBS Medicaid Contracted [320046] | Hb Stod Missouri Care Health Plan/ | $365 |
| Medicaid Pending [20241] | Hb Stod Missouri Care Health Plan/Healthy B | $365 |
| BCBS Medicare Advantage [20047] | Hb Stod Anthem Medicare 100% W/Seq | $367 |
| Cross Timbers Hospice [20098] | Hb Stod Medicare And 100% Managed Medi | $367 |
| Medicare [20244] | Hb Stod Medicare And 100% Managed Medicare | $367 |
| Mercy Hospice Okc [20252] | Hb Stod Medicare And 100% Managed Medicare | $367 |
| Elara Caring Aspire Hospice [20433] | Hb Stod Medicare And 100% Manage | $367 |
| Halo Hcr Inc Hospice [20432] | Hb Stod Medicare And 100% Managed Medic | $367 |
| Aetna Medicare Advantage Contracted [320010] | Hb Stod Aetna Medicare | $367 |
| BCBS Medicare Advantage Contracted [320047] | Hb Stod Anthem Medicare | $367 |
| Kindful Hospice [20434] | Hb Stod Medicare And 100% Managed Medicare | $367 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Stod UHC Va-Ccn | $367 |
| Humana Medicare Advantage Contracted [320194] | Hb Stod Humana Medicar | $367 |
| Tricare Contracted [320380] | Hb Stod Tricare | $367 |
| Medica Medicare Advantage Contracted [320477] | Hb Stod Medicare And 1 | $367 |
| American Health Advantage Of Mo Mcr HMO Contracted [320264] | Hb Stod | $378 |
| Home State Medicaid Contracted [320189] | Hb Stod Home State Managed M | $429 |
| Medicaid Pending [20241] | Hb Stod Home State Managed Medicaid | $429 |
| United Healthcare Medicaid Contracted [320397] | Hb Stod UHC Managed M | $457 |
| Home State Health Plan Contracted [320187] | Hb Stod Home State Ambett | $487 |
| Ambetter Contracted [320452] | Hb Stod Home State Ambetter Exchange 13 | $487 |
| United Healthcare Contracted [320396] | Hb Stod Dec Rates Ip 150% Op 1 | $551 |
| Healthlink Contracted [320179] | Hb Stod Schaefer Electrical Dec 165% | $618 |
| Mercy Benefit Admin Contracted [320251] | Hb Stod City Of Jackson Dec | $618 |
| Auxiant Contracted [320462] | Hb Stod City Of Jackson Dec 165% W/O Seq | $618 |
| Consociate Consolidated Health Contracted [320490] | Hb Stod Dec Conso | $643 |
| Auxiant Contracted [320462] | Hb Stod Dec Buchheit Ip 225% Op 200% Def | $748 |
| Healthlink Contracted [320179] | Hb Stod Dec Consociate Ip 225% Op 225 | $826 |
| United Healthcare Contracted [320396] | Hb Stod UHC Exchange | $898 |
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