CT abdomen and pelvis with contrast at Chelsea Hospital. CPT 74177.
What Chelsea Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4,010cash price (self-pay)
$6,169list price
$195–$6,169range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mclaren Health Medicaid | Mclaren Medicaid | $195 |
| Hap Medicaid | Hap Caresource Medicaid | $195 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $342 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $342 |
| Molina Medicare Advantage | Molina Medicare Advantage | $342 |
| Hap Medicare Advantage | Hap Medicare Advantage | $342 |
| Align Senior Care | Align Senior Care Medicare Advantage | $349 |
| Arbor Hospice | Arbor Hospice | $349 |
| Blue Cross - Nj (Horizon) | BCBS Trad / Trust | $352 |
| Blue Cross - CA (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Ne | BCBS Trad / Trust | $352 |
| Blue Shield - CA | BCBS Trad / Trust | $352 |
| Blue Cross - Oh (Anthem) | BCBS Trad / Trust | $352 |
| Bcn Domestic | Bcn HMO | $352 |
| Blue Shield - Wa (Regence) | BCBS Trad / Trust | $352 |
| Blue Cross - Ar | BCBS Trad / Trust | $352 |
| Blue Distinction Transplant | BCBS Trad / Trust | $352 |
| Blue Cross - Wv (Highmark) | BCBS Trad / Trust | $352 |
| Blue Cross - Va (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Va (Carefirst) | BCBS Trad / Trust | $352 |
| Blue Cross Domestic | BCBS Trad / Trust | $352 |
| Blue Cross - Ms | BCBS Trad / Trust | $352 |
| Blue Cross - Mt | BCBS Trad / Trust | $352 |
| Blue Cross - Nv (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Nh (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - NY (Excellus) | BCBS Trad / Trust | $352 |
| Blue Cross - Mi | BCBS Trad / Trust | $352 |
| Blue Cross - Mi | BCBS Mi Local HMO | $352 |
| Blue Cross - NY (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Mn | BCBS Trad / Trust | $352 |
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