CT abdomen and pelvis with contrast at University of Michigan Health – West. CPT 74177.
What University of Michigan Health – West publishes for this service, straight from its standard-charges file, last updated April 7, 2026.
Outpatient / ER
$1,710cash price (self-pay)
$4,276list price
$18.00–$3,570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | CAID | $191 |
| Molina Healthcare of MI | CAID | $191 |
| Care Resources | PPO | $321 |
| MEDICARE | Part A&B | $356 |
| Molina Marketplace Commercial | PPO | $356 |
| insight metro care | commercial | $356 |
| medicare plus blue | HMO | $356 |
| humana medicare advantage | HMO | $356 |
| Priority Health | PPO | $666 |
| Medicaid HMO | CAID | $1,007 |
| Aetna | PPO | $1,419 |
| Web Tpa | PPO | $1,879 |
| Asr Physicians | PPO | $2,865 |
| Hap | PPO | $2,865 |
| Alliance Health & Life PPO | PPO | $2,865 |
| aetna medicare advantage | HMO | $2,865 |
| United Healthcare | PPO | $3,083 |
| Umr | PPO | $3,083 |
| Student Ins/Mega Life | PPO | $3,083 |
| Golden Rule Ins | PPO | $3,083 |
| Medica | PPO | $3,083 |
| Humana | PPO | $3,207 |
| Asr Cofinity | PPO | $3,570 |
| Cofinity Commercial | PPO | $3,570 |
| Cofinity Weyco | PPO | $3,570 |
| Hlthcomp Admin | PPO | $3,570 |
| Core Source | PPO | $3,570 |
| Mid America | PPO | $3,570 |
| Epoch Group | PPO | $3,570 |
| Health Partners | PPO | $3,570 |
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