CT abdomen and pelvis with contrast at Merit Health River Oaks. CPT 74177.
What Merit Health River Oaks publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$35.84cash price (self-pay)
$8,322list price
$20.11–$14,801range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $252 |
| MS Medicaid | MS Medicaid | $272 |
| MS Medicaid Non Par | MS Medicaid Non Par | $272 |
| UHC Medicaid MS | UHC Medicaid MS | $272 |
| Magnolia MCD CHIP | Magnolia MCD CHIP | $275 |
| Magnolia Medicaid MS | Magnolia Medicaid MS | $275 |
| Molina Medicaid MS | Molina Medicaid MS | $275 |
| CareSource TrueCare | CareSource TrueCare | $278 |
| Molina CHIP | Molina CHIP | $294 |
| NODE Tricare | NODE Tricare | $299 |
| NODE ChampVA | NODE ChampVA | $315 |
| Aetna | Aetna | $400 |
| MS Work Comp | MS Work Comp | $446 |
| Prime Health WC | Prime Health WC | $446 |
| UHC Apa | UHC Apa | $764 |
| UHC Iex | UHC Iex | $764 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $841 |
| Advanced Health Systems | Advanced Health Systems | $917 |
| LA Medicaid Non Par | LA Medicaid Non Par | $1,269 |
| Cigna | Cigna | $1,656 |
| Self Pay | Self Pay | $1,831 |
| UHC Options PPO | UHC Options PPO | $2,222 |
| TriMed Billing Solutions | TriMed Billing Solutions | $2,497 |
| MS State Hospital of Whitfield MS | MS State Hospital of Whitfield MS | $3,162 |
| MS Dept of Rehabilitation Services | MS Dept of Rehabilitation Service | $3,790 |
| First Choice Standard | First Choice Standard | $3,828 |
| First Choice Coventry | First Choice Coventry | $4,327 |
| First Choice MPCN Standard | First Choice MPCN Standard | $4,577 |
| First Choice PPO Plus | First Choice PPO Plus | $4,577 |
| Phcs | Phcs | $4,993 |
Inpatient
$53.76cash price (self-pay)
$8,322list price
$20.11–$14,801range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $841 |
| Self Pay | Self Pay | $1,831 |
| UHC Options PPO | UHC Options PPO | $2,222 |
| TriMed Billing Solutions | TriMed Billing Solutions | $2,497 |
| MS State Hospital of Whitfield MS | MS State Hospital of Whitfield MS | $3,162 |
| Phcs | Phcs | $4,993 |
| Benefit Administration Services | Benefit Administration Services | $5,992 |
| Benefit Management Systems | Benefit Management Systems | $5,992 |
| Citizens State Bank Inc | Citizens State Bank Inc | $5,992 |
| First Choice Stratose | First Choice Stratose | $6,658 |
| Prime Health Services | Prime Health Services | $6,658 |
| American Health Group | American Health Group | $7,074 |
| Beech Street | Beech Street | $7,074 |
| ForMost | ForMost | $7,074 |
| Usa Mco | Usa Mco | $7,074 |
| One Health Plan | One Health Plan | $7,490 |
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