CT abdomen and pelvis with contrast at Mercy Hospital Healdton. CPT 74177.
What Mercy Hospital Healdton publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$2,724cash price (self-pay)
$4,191list price
$189–$3,772range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Hmh | $1,151 |
| Medica Medicare Advantage Contracted [320477] | Hb Hmh Medica Medicare | $1,151 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Hmh Managed Medicare 100 | $1,151 |
| Kindful Hospice Contracted [320434] | Hb Hmh Managed Medicare 100% W/S | $1,151 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Hmh Managed Medic | $1,151 |
| Provider Partners Health Plans Contracted [320450] | Hb Hmh Managed Me | $1,151 |
| Tricare Contracted [320380] | Hb Hmh Managed Medicare 100% W/Seq | $1,151 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Hmh Managed Medic | $1,151 |
| United Healthcare Contracted [320396] | Hb Hmh Managed Medicare 100% W | $1,151 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Hmh Cigna Mcr | $1,186 |
| Devoted Health Medicare Contracted [320500] | Hb Hmh Devoted Health Mc | $1,220 |
| Ambetter Contracted [320452] | Hb Hmh Ambetter Exchange Medicare | $1,257 |
| Sunflower Health Plan Contracted [320369] | Hb Hmh Ambetter Exchange M | $1,257 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Hmh UHC | $1,357 |
| Medica Medicare Advantage Contracted [320477] | Hb Hmh Medica Exchange | $1,596 |
| Webtpa Contracted [320417] | Hb Oklc Heart Hospital Employer | $1,760 |
| Centivo Contracted [320505] | Hb Hmh Centivo Mcr 165% | $1,936 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $2,515 |
| Show-Me Health Administrators Contracted [320483] | Hb Ada, Ardm, Hmh, | $2,515 |
| Show-Me Health Administrators Contracted [320483] | Hb Oklc Ada Ardm H | $2,515 |
| Quik Trip Contracted [320447] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, Lhcp, | $2,515 |
| Optum Health Behavioral Solutions [520250] | Hb Hmh UHC | $2,934 |
| United Medical Resources Contracted [320454] | Hb Hmh UHC | $2,934 |
| United Healthcare Contracted [320396] | Hb Hmh UHC | $2,934 |
| United Healthcare Contracted [320396] | Hb Hmh Lhcp Lgnok UHC Exchange | $2,934 |
| Preferred Community Choice Contracted [320311] | Hb Hmh Pcc | $2,934 |
| Mercy Benefit Admin Contracted [320251] | Hb Tish Wtga Lgnok Kgfer Hmh | $3,562 |
| Edison Health Solutions Contracted [320502] | Hb Hmh, Kgfer, Lgnok, Ti | $3,562 |
| Yuzu Health Contracted [320521] | Hb Hmh Kgfer Lgnok Tish Wtga Level H | $3,562 |
| Ebms Contracted [320493] | Hb Tish Wtga Lgnok Kgfer Hmh Lhcp Crader Di | $3,562 |
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