CT abdomen and pelvis with contrast at Mercy Hospital Ardmore. CPT 74177.
What Mercy Hospital Ardmore publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$4,125cash price (self-pay)
$6,346list price
$189–$6,346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nhc Advantage Medicare Contracted [320282] | Hb Ardm Medicare/Mgd Medi | $353 |
| Tribute Health Plan Mcr Contracted [320338] | Hb Ardm Medicare/Mgd Med | $353 |
| Qual Choice Contracted [320325] | Hb Ardm Medicare/Mgd Medicare 100% | $353 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Ardm UHC | $353 |
| Tricare Contracted [320380] | Hb Ardm Medicare/Mgd Medicare 100% | $353 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ardm Medicare/Mgd Medica | $353 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ardm Medicare/Mgd | $353 |
| Kindful Hospice Contracted [320434] | Hb Ardm Medicare/Mgd Medicare 10 | $353 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Ardm Medicare/Mgd | $353 |
| Provider Partners Health Plans Contracted [320450] | Hb Ardm Medicare/ | $353 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ard | $353 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ardm Medicare/ | $353 |
| Humana Medicare Advantage Contracted [320194] | Hb Ardm Humana 100% Mc | $353 |
| Indian Health Service Contracted [320198] | Hb Ardm Medicare/Mgd Medic | $353 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Ardm Medicare/Mgd | $353 |
| Essence Healthcare Medicare Contracted [320122] | Hb Ardm Medicare/Mgd | $353 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Ardm Medicare/Mgd Med | $353 |
| Aetna Medicare Advantage Contracted [320010] | Hb Ardm Medicare/Mgd Me | $353 |
| BCBS Medicare Advantage Contracted [320047] | Hb Ardm Medicare/Mgd Med | $353 |
| BCBS Medicare Advantage [20047] | Hb Ardm Medicare/Mgd Medicare 100% | $353 |
| Medica Medicare Advantage Contracted [320477] | Hb Ardm Medica Medicar | $359 |
| Medica Medicare Advantage [20477] | Hb Ardm Medica Medicare New 031523 | $359 |
| Globalhealth Contracted [320145] | Hb Ardm Global Health Mcr 102% | $360 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ardm Cigna Mc | $363 |
| Cigna Medicare Advantage Contracted [320072] | Hb Ardm Cigna Mcr 103% | $363 |
| Devoted Health Medicare Contracted [320500] | Hb Ardm Devoted Health M | $374 |
| Medica Contracted [320239] | Hb Ardm Medica Exchange | $439 |
| Globalhealth Contracted [320144] | Hb Ardm Globalhealth | $470 |
| Novasys Contracted [320285] | Hb Ardm Ambetter Exchange Medicare | $485 |
| Sunflower Health Plan Contracted [320369] | Hb Ardm Ambetter Exchange | $485 |
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