CT abdomen and pelvis with contrast at Grand River Hospital. CPT 74177.
What Grand River Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$2,164cash price (self-pay)
$4,327list price
$903–$903range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rocky Mountain | CHP+ | $903 |
| Rocky Mountain | Medicaid | $903 |
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