SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities across 2 cities for code 74177, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 12, 2026 and Jun 12, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Mercy Hospital Headlton Inc
HEALDTON, OK CT Abdomen & Pelvis W/Contrast Material |
$478.50 | $638.00 | 25% | Jun 12, 2026 file |
|
| Mercy Hospital Healdton Inc
HEALDTON, OK CT Abd Pelvis With Contrast |
$2,724.15 | $4,191.00 | 35% | — file |
|
| Mercy Hospital Ardmore Inc
NORTHWEST ARDMORE, OK CT Abd Pelvis With Contrast |
$4,124.90 | $6,346.00 | 35% | — file |
Outpatient: lowest $478.50, median $2,724.15, highest $4,124.90 — a 8.6× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $478.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.