CT abdomen and pelvis with contrast at Merit Health River Region. CPT 74177.
What Merit Health River Region publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,382cash price (self-pay)
$13,234list price
$272–$9,926range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnolia MCD CHIP | Magnolia MCD CHIP | $272 |
| Magnolia | Magnolia Medicaid MS | $272 |
| MS Medicaid | MS Medicaid | $272 |
| Medicaid Non Par | MS Medicaid Non Par | $272 |
| United Healthcare | UHC Medicaid MS | $272 |
| Molina Medicaid MS | Molina Medicaid MS | $275 |
| CareSource TrueCare | CareSource TrueCare | $278 |
| Molina CHIP | Molina CHIP | $294 |
| Veterans Eval Services | Veterans Eval Services | $304 |
| NODE Tricare | NODE Tricare | $327 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $333 |
| NODE First Choice American Health of MS MCR ADV | NODE First Choice Am | $333 |
| NODE First Choice Aetna MCR ADV | NODE First Choice Aetna MCR ADV | $336 |
| Department of Veterans Affairs | NODE ChampVA | $345 |
| MS Work Comp | MS Work Comp | $446 |
| First Choice | First Choice Preferred | $498 |
| NODE Seven Corners | NODE First Choice Seven Corners | $564 |
| Molina Exchange | Molina Exchange | $612 |
| First Choice | First Choice LGP | $723 |
| UHC Apa | UHC Apa | $764 |
| UHC Iex | UHC Iex | $764 |
| Aetna First Choice MS | Aetna First Choice MS | $811 |
| Advanced Health Systems | Advanced Health Systems | $917 |
| BCBS Ms Fmp | BCBS Ms Fmp | $1,180 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $1,800 |
| UHC LA Medicaid | UHC LA Medicaid | $2,018 |
| UHC LA Medicaid CHIP | UHC LA Medicaid CHIP | $2,018 |
| Humana Health Benefit Plan of LA Medicaid | Humana Health Benefit Plan | $2,018 |
| LA Medicaid Non Par | LA Medicaid Non Par | $2,018 |
| Self Pay | Self Pay | $2,382 |
Inpatient
$3,970cash price (self-pay)
$13,234list price
$1,800–$9,926range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $1,800 |
| MedPartners | MedPartners | $2,647 |
| Self Pay | Self Pay | $3,970 |
| TriMed Billing Solutions | TriMed Billing Solutions | $3,970 |
| Cigna | Cigna | $5,466 |
| Phcs | Phcs | $7,940 |
| MS Health Partners | MS Health Partners | $9,926 |
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