CT abdomen and pelvis with contrast at University of Michigan Health-Sparrow Eaton. CPT 74177.
What University of Michigan Health-Sparrow Eaton publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$86.00cash price (self-pay)
$172list price
$12.00–$2,672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Professional | $54.95 |
| Medicaid | Professional Facility | $54.95 |
| Medicare | Professional | $82.11 |
| BCBS | Professional | $137 |
| BCBS | Professional Facility | $137 |
| Medicaid | PPO | $251 |
| Aetna | PPO | $390 |
| Priority Health Medicaid | PPO | $638 |
| Blue Cross Complete Medicaid | PPO | $638 |
| McLaren Medicaid | PPO | $638 |
| Aetna Better Health | PPO | $663 |
| Molina Medicaid | PPO | $701 |
| Medicare | PPO | $882 |
| Covenant Advantage | PPO | $882 |
| MediGold | PPO | $882 |
| Senior Community Care | PPO | $882 |
| BCN Medicare Advantage | PPO | $882 |
| Medicare Plus Blue | PPO | $882 |
| Aetna Medicare Advantage | PPO | $882 |
| Humana Medicare Advantage | PPO | $926 |
| HAP Medicare Advantage | PPO | $926 |
| McLaren Medicare Advantage | PPO | $926 |
| Priority Health Medicare Advantage | PPO | $935 |
| United Health Care | PPO | $1,662 |
| Blue Cross Blue Shield | PPO | $1,950 |
| Cigna | PPO | $2,116 |
| Great West Healthcare | PPO | $2,116 |
| Cofinity | PPO | $2,138 |
| Humana | PPO | $2,138 |
| Health Alliance Plan | PPO | $2,138 |
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All common services at University of Michigan Health-Sparrow Eaton