CT abdomen and pelvis with contrast at Mercy Rehabilitation Hospital Oklahoma City. CPT 74177.
What Mercy Rehabilitation Hospital Oklahoma City publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Inpatient
$1,115cash price (self-pay)
$1,115list price
$836–$1,115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthcare Highways | Healthcare Highways | $836 |
| Aetna Government Programs | Aetna Government Programs | $1,115 |
| Blue Cross Blue Shield MCR | Blue Cross Blue Shield MCR | $1,115 |
| GlobalHealth/Generations | GlobalHealth/Generations | $1,115 |
| Humana Choice Care | Humana Choice Care | $1,115 |
| Oklahoma Complete - Centene | Oklahoma Complete - Centene | $1,115 |
| Tricare (Humana Military Services) Humana is the vendor | Tricare (Hum | $1,115 |
| United HealthCare MCR | United HealthCare MCR | $1,115 |
| Aetna Commercial (Gatekeeper and Non-Gatekeeper) | Aetna Commercial (G | $1,115 |
| Blue Cross Blue Shield of Oklahoma | Blue Cross Blue Shield of Oklahom | $1,115 |
| Blue Cross Blue Shield of Oklahoma | Blue Advantage | $1,115 |
| Blue Cross Blue Shield of Oklahoma (Preferred) | Blue Cross Blue Shiel | $1,115 |
| Blue Cross Blue Shield of Oklahoma | Blue Lincs | $1,115 |
| Cigna | Cigna | $1,115 |
| Cigna - New Business Discount | Cigna - New Business Discount | $1,115 |
| GlobalHealth | GlobalHealth | $1,115 |
| HealthChoice | HealthChoice | $1,115 |
| Medica | Medica | $1,115 |
| HealthSmart | HealthSmart | $1,115 |
| United HealthCare | United HealthCare | $1,115 |
| Self Pay | Self Pay | $1,115 |
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All common services at Mercy Rehabilitation Hospital Oklahoma City