CT abdomen and pelvis with contrast at Mercy Primary Care - Crescent. CPT 74177.
What Mercy Primary Care - Crescent publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$129cash price (self-pay)
$466list price
$94.60–$422range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $256 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $256 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $261 |
| Aetna Contracted [320008] | Pb Ok Aetna Crescent/Guthrie Division | $265 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $291 |
| Blue Cross And Blue Shield [20053] | Pb Ok BCBS Preferred | $303 |
Inpatient
$129cash price (self-pay)
$466list price
$94.60–$422range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $256 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $256 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $261 |
| Aetna Contracted [320008] | Pb Ok Aetna Crescent/Guthrie Division | $265 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $291 |
| Blue Cross And Blue Shield [20053] | Pb Ok BCBS Preferred | $303 |
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