CT abdomen and pelvis with contrast at Bronson Lakeview Hospital. CPT 74177.
What Bronson Lakeview Hospital publishes for this service, straight from its standard-charges file, last updated August 3, 2026.
Outpatient / ER
$155cash price (self-pay)
$3,784list price
$97.00–$3,405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare | $540 |
| Mclaren | Medicaid | $667 |
| Priority Health | Choice Medicaid | $667 |
| UHCCP | Medicaid | $667 |
| UHC | Medicaid | $667 |
| BCBS | Complete | $700 |
| Meridian | Medicaid | $700 |
| PACE | Senior Care Partners | $899 |
| BCBS | Mappo | $946 |
| BCN | Medicare Advantage | $946 |
| Health Alliance Plan | Medicare Advantage | $946 |
| Pace | Swmi | $946 |
| PHP | Medicare Advantage | $946 |
| Railroad Medicare | Medicare | $946 |
| UHC | Exchange | $946 |
| UHC | Medicare Advantage | $946 |
| Va | Va | $946 |
| Priority Health | Medicare | $955 |
| Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advant | $993 |
| Molina | Medicare/Medicaid | $1,041 |
| MI Amish Medical Board | Commercial | $1,088 |
| Allen County Amish Medical Aid | Commercial | $1,182 |
| Amish Plain Church Group | Commercial | $1,182 |
| Opus (Opus Packaging Group) | HMA | $1,492 |
| Priority Health | Narrow/Tiered Network | $1,547 |
| BCN | Commercial | $1,784 |
| Aetna | Commercial | $1,808 |
| Priority Health | Cigna Priority Health/HMO/PPO | $1,877 |
| Lakeland Regional Health Systems | Commercial | $2,838 |
| Van Buren County Sheriff Dept. | Commercial | $2,838 |
Inpatient
$3,027cash price (self-pay)
$3,784list price
$2,634–$3,405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Priority Health | Narrow/Tiered Network | $2,634 |
| Lakeland Regional Health Systems | Commercial | $2,838 |
| Opus (Opus Packaging Group) | HMA | $2,838 |
| Van Buren County Sheriff Dept. | Commercial | $2,838 |
| Encore Health Key Benefits | Commercial | $3,027 |
| Nomi Health | Commercial | $3,103 |
| BCBS | Trust/PPO | $3,125 |
| BCN | Commercial | $3,125 |
| UHC | Core | $3,160 |
| Aetna | Commercial | $3,216 |
| Multiplan/Beech St/PHCS | Commercial | $3,216 |
| PHP | Commercial | $3,216 |
| Cofinity | Commercial | $3,254 |
| Priority Health | Cigna Priority Health/HMO/PPO | $3,292 |
| UHC | All Payor (Choice/PPO) | $3,330 |
| Healthscope | Commercial | $3,405 |
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