CT abdomen and pelvis with contrast at mercy hospital. CPT 74177.
What mercy hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$521cash price (self-pay)
$2,375list price
$1.01–$4,036,081range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Zing Health | Medicare Advantage | $1.10 |
| Aetna | ALL PRODUCTS | $1.65 |
| Summacare | Medicare Advantage Lower Level | $146 |
| Summacare | Medicare Advantage Psych | $149 |
| Summacare | Medicare Advantage CNA | $166 |
| Summacare | Preferred | $180 |
| Summacare | Medicare Advantage MD | $185 |
| Aetna | Medicare Advantage | $199 |
| Anthem | Medicare Advantage | $199 |
| Cigna | Medicare Advantage | $199 |
| Humana | Medicare Advantage HMO | $199 |
| The Health Plan | Medicare Advantage | $199 |
| United | Medicare Advantage | $199 |
| CommuniCare | Medicare Advantage | $209 |
| The Health Plan | PPO | $213 |
| Perennial Health | Medicare Advantage | $215 |
| The Health Plan | All Products PCP | $219 |
| Summacare | Premier | $221 |
| The Health Plan | All Products Specialty Physicians | $228 |
| MMO | Medicare HMO & PPO | $247 |
| The Health Plan | All Products Radiation Oncology Physicians | $258 |
| Anthem | All Products Mid-Level Non-Facility | $292 |
| United | HMO & PPO | $406 |
| United | All Products - Mid-Level | $439 |
| United | All Products | $488 |
| Oscar | All Products | $603 |
| MMO | SuperMed | $656 |
| Aultcare | PPO/HMO | $866 |
| OHCP | All Products | $924 |
| OMAS | All Products | $1,188 |
Inpatient
$1,602cash price (self-pay)
$2,464list price
$697–$2,464range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $889 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,232 |
| Anthem | Traditional | $1,406 |
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