CT abdomen and pelvis with contrast at DMC Huron Valley-Sinai Hospital. CPT 74177.
What DMC Huron Valley-Sinai Hospital publishes for this service, straight from its standard-charges file, last updated May 20, 2026.
Outpatient / ER
$5,483cash price (self-pay)
$7,310list price
$1.00–$624range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross/Blue Shield | BCBS Blue Care Network | $1.00 |
| Blue Cross/Blue Shield | BCBS Exchange | $1.00 |
| Blue Cross/Blue Shield | BCBS Traditional | $1.00 |
| Blue Cross/Blue Shield | BCBS Trust PPO | $1.00 |
| Blue Cross/Blue Shield | Bluecrossblueshield Mi | $1.00 |
| Oscar Health Plan | Oscar Health Plan Hix | $137 |
| United Healthcare | United Healthcare Exchange | $368 |
| United Healthcare | United Healthcare New Business | $368 |
| United Healthcare | United Healthcare Nonoptions | $368 |
| United Healthcare | United Healthcare Options | $368 |
| United Healthcare | United Healthcare Commercial | $624 |
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