CT abdomen and pelvis with contrast at Mercy St Francis Hospital. CPT 74177.
What Mercy St Francis Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$3,076cash price (self-pay)
$4,733list price
$207–$4,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nhc Advantage Medicare Contracted [320282] | Hb Sprg Nhc Advantage Mcr | $360 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Mtnv UHC | $1,300 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Mtnv Managed Medi | $1,302 |
| Qual Choice Contracted [320325] | Hb Mtnv Managed Medicare | $1,302 |
| Provider Partners Health Plans Contracted [320450] | Hb Mtnv Managed M | $1,302 |
| Medical Associates Health Contracted [320444] | Hb Mtnv Managed Medica | $1,302 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Mtnv Managed Medicare | $1,302 |
| Kindful Hospice Contracted [320434] | Hb Mtnv Managed Medicare | $1,302 |
| Medica Medicare Advantage Contracted [320477] | Hb Mtnv Managed Medica | $1,302 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Mtnv Wellcare Med | $1,339 |
| Tricare Contracted [320380] | Hb Mtnv Tricare | $1,610 |
| Novasys Contracted [320285] | Hb Mtnv Ambetter Exchange Mo | $2,456 |
| Sunflower Health Plan Contracted [320369] | Hb Mtnv Ambetter Exchange | $2,456 |
| Ambetter Contracted [320452] | Hb Mtnv Ambetter Exchange Mo | $2,456 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Clayco | $4,260 |
| United Medical Resources Contracted [320454] | Hb Mtnv Liberty Utiliti | $4,260 |
| Auxiant Contracted [320462] | Hb Bryv Cass Mtnv Dec Fcb Banks | $4,260 |
| Auxiant Contracted [320462] | Hb Bryv Cass Mtnv Dec Hydromat Deutsche | $4,260 |
| United Healthcare Contracted [320396] | Hb Mtnv UHC | $4,402 |
| United Healthcare Contracted [320396] | Hb Mtnv UHC Individual Exchang | $4,402 |
| United Medical Resources Contracted [320454] | Hb Mtnv UHC | $4,402 |
| Multiplan Contracted [320270] | Hb Mtnv Phcs (Mpi) & Savility | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mnck Mtnv Dec (Show-Me Co | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Quality Collisio | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Town & Country S | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Easter Seals | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec City Of Jackson | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Sapaugh Motors N | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Bartel Communica | $4,496 |
| Mercy Benefit Admin Contracted [320251] | Hb Mtnv Dec Tall Tree New 4. | $4,496 |
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