CT abdomen and pelvis with contrast at Mercy Rehabilitation Hospital South. CPT 74177.
What Mercy Rehabilitation Hospital South publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Inpatient
$1,258cash price (self-pay)
$1,258list price
$1,258–$1,258range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna/ Managed Choice POS Elect Choice and PPO Products | Aetna/ Manag | $1,258 |
| Meritain Health PPO CPD | Meritain Health PPO CPD | $1,258 |
| Aetna/Commercial Product | Aetna/Commercial Product | $1,258 |
| Meritain Health CPD | Meritain Health CPD | $1,258 |
| Starmark CPD | Starmark CPD | $1,258 |
| Aetna Medicare | Aetna Medicare | $1,258 |
| Ambetter | Ambetter | $1,258 |
| Anthem Blue Access | Anthem Blue Access | $1,258 |
| Anthem Blue Access Choice | Anthem Blue Access Choice | $1,258 |
| Anthem Blue Preferred | Anthem Blue Preferred | $1,258 |
| Anthem Pathway | Anthem Pathway | $1,258 |
| Anthem Alliance | Anthem Alliance | $1,258 |
| Healthy Blue (Missouri Care) | Healthy Blue (Missouri Care) | $1,258 |
| Anthem Medicare | Anthem Medicare | $1,258 |
| Cigna | Cigna | $1,258 |
| Cigna PPO | Cigna PPO | $1,258 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $1,258 |
| Essence | Essence | $1,258 |
| Healthlink HMO | Healthlink HMO | $1,258 |
| Healthlink PPO | Healthlink PPO | $1,258 |
| HomeState Health Plan | HomeState Health Plan | $1,258 |
| Humana Gold | Humana Gold | $1,258 |
| Medicaid MO | Medicaid MO | $1,258 |
| Medica | Medica | $1,258 |
| Tricare | Tricare | $1,258 |
| UHC All Payer | UHC All Payer | $1,258 |
| UHC Exchange | UHC Exchange | $1,258 |
| UHC Medicaid | UHC Medicaid | $1,258 |
| Umr Cpd | Umr Cpd | $1,258 |
| UHC Medicare | UHC Medicare | $1,258 |
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