CT abdomen and pelvis with contrast at Moberly Regional Medical Center. CPT 74177.
What Moberly Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,223cash price (self-pay)
$4,530list price
$304–$3,670range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MO Medicaid | MO Medicaid | $304 |
| Non Par Medicaid | MO Medicaid Non Par | $304 |
| Veterans Eval Services | Veterans Eval Services | $307 |
| NODE Tricare | NODE Tricare | $352 |
| NODE Medicare Non Par | NODE Medicare Non Par | $368 |
| NODE Medicare Traditional | NODE Medicare Traditional | $368 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $374 |
| Node Va | Node Va | $374 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $376 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $387 |
| Centurion Correctional | Centurion Correctional | $468 |
| Corizon | Corizon | $468 |
| US Department of Labor | NODE US Dept of Labor | $468 |
| Home State Health Plan | Home State Health Plan Medicaid | $502 |
| Missouri Care Health Plan Medicaid Healthy Blue | Missouri Care Health | $502 |
| UHC Medicaid | UHC Medicaid | $502 |
| Pathway/Pathway X | Blue Pathway/Pathway X | $532 |
| Healthscope Benefits | Orscheln Employee Group | $629 |
| Home State Health Plan | Home State Exchange | $692 |
| NaphCare | NaphCare | $711 |
| Blue Preferred | Blue Preferred | $736 |
| United Behavioral Health MCD | United Behavioral Health MCD | $906 |
| Self Pay | Self Pay | $1,223 |
| Cigna | Cigna | $1,413 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,613 |
| Blue Access | Blue Access | $1,748 |
| Access Health Services, LLC | Vantos Health Employee Plan | $2,945 |
| Aetna | Aetna | $2,981 |
| Aetna | Aetna First Health | $2,981 |
| Healthlink | Healthlink HMO | $3,171 |
Inpatient
$2,175cash price (self-pay)
$4,530list price
$1,413–$3,670range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $1,413 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,613 |
| Self Pay | Self Pay | $2,175 |
| Access Health Services, LLC | Vantos Health Employee Plan | $2,945 |
| Aetna | Aetna | $2,981 |
| Aetna | Aetna First Health | $2,981 |
| Blue Traditional | Blue Traditional | $3,387 |
| Multiplan Primary | MultiPlan Primary | $3,398 |
| Aetna | Aetna Auto | $3,624 |
| Coventry Wc | Coventry Wc | $3,624 |
| Multiplan | Multiplan Complementary | $3,670 |
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