CT abdomen and pelvis with contrast at Mercy Hospital Logan County. CPT 74177.
What Mercy Hospital Logan County publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$1,862cash price (self-pay)
$2,865list price
$189–$802range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Lgnok Ok Me | $189 |
| Humana Medicaid Contracted [320486] | Hb Lgnok Ok Medicaid (Soonercare | $189 |
| Medicaid [20240] | Hb Lgnok Ok Medicaid (Soonercare) | $189 |
| Aetna Medicaid Contracted [320009] | Hb Lgnok Ok Medicaid (Soonercare) | $189 |
| Humana Contracted [320193] | Hb Lgnok Humana Choicecare | $360 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $802 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.