CT abdomen and pelvis with contrast at Mercy Hospital Watonga. CPT 74177.
What Mercy Hospital Watonga publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$2,137cash price (self-pay)
$3,287list price
$189–$2,958range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicaid Contracted [320486] | Hb Wtga Ok Medicaid (Soonercare) | $189 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Wtga Ok Med | $189 |
| Medicaid [20240] | Hb Wtga Ok Medicaid (Soonercare) | $189 |
| Aetna Medicaid Contracted [320009] | Hb Wtga Ok Medicaid (Soonercare) | $189 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $802 |
| Home State Health Plan Contracted [320187] | Hb Wtga Ambetter Exchange | $986 |
| Aetna Medicare Advantage Contracted [320010] | Hb Wtga Managed Medicar | $1,322 |
| BCBS Medicare Advantage Contracted [320047] | Hb Wtga Managed Medicare | $1,322 |
| Essence Healthcare Medicare Contracted [320122] | Hb Wtga Managed Medi | $1,322 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Wtga Managed Medicare | $1,322 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Wtga Managed Medi | $1,322 |
| Humana Medicare Advantage Contracted [320194] | Hb Wtga Managed Medica | $1,322 |
| Humana Contracted [320193] | Hb Wtga Managed Medicare 100% W/Seq | $1,322 |
| Indian Health Service Contracted [320198] | Hb Wtga Managed Medicare 1 | $1,322 |
| Medicare [20244] | Hb Wtga Medicare | $1,322 |
| Independent Health [20197] | Hb Wtga Managed Medicare 100% W/Seq | $1,322 |
| Horizons Medicare [20190] | Hb Wtga Managed Medicare 100% W/Seq | $1,322 |
| Health First Health Plans Medicare [20170] | Hb Wtga Managed Medicare | $1,322 |
| Cross Timbers Hospice [20098] | Hb Wtga Managed Medicare 100% W/Seq | $1,322 |
| BCBS Medicare Advantage [20047] | Hb Wtga Managed Medicare 100% W/Seq | $1,322 |
| Globalhealth Contracted [320145] | Hb Wtga Globalhealth Mcr 102% W/Seq | $1,349 |
| Cigna Medicare Advantage Contracted [320072] | Hb Wtga Cigna Mcr 103% | $1,362 |
| Blue Cross And Blue Shield [20053] | Hb Wtga Blue Cross Advantage PPO | $1,808 |
| Blue Cross And Blue Shield [20053] | Hb Wtga Blue Cross Traditional | $1,841 |
| Blue Cross And Blue Shield [20053] | Hb Wtga Blue Cross Preferred | $1,841 |
| Blue Cross And Blue Shield [20053] | Hb Wtga Blue Lincs | $1,841 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $1,972 |
| Blue Cross And Blue Shield [20053] | Hb Wtga Blue Cross Choice | $1,972 |
| Benefit Management Contracted [320052] | Hb Ada, Ardm, Kgfer, Oklc, Wt | $2,137 |
| Aetna Contracted [320008] | Hb Wtga Aetna Nbd | $2,248 |
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