CT abdomen and pelvis with contrast at Henry Ford Genesys Hospital. CPT 74177.
What Henry Ford Genesys Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,817cash price (self-pay)
$4,325list price
$208–$2,489range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Genesee Health Plan | 648_medicaid Replacement Genesee Health Plan Out | $208 |
| Medicaid | 649_mi Medicaid Outpatient 20250101 | $208 |
| Medicaid Replacement | 650_medicaid Replacement HMO Outpatient 2025010 | $208 |
| Aetna | 636_aetna 20241001 | $289 |
| Hap Php | 419_hap Php 20200101 | $296 |
| Cofinity | 583_cofinity 20211001 | $332 |
| Medicare Replacement | 652_medicare Replacement Outpatient 20250101 | $358 |
| Veteran'S Choice | 651_veteran'S Choice Outpatient 20250101 | $358 |
| Meridian Medicare | 653_medicare Advantage Meridian Outpatient 2025010 | $376 |
| BCBS Bcn Nonpho | 614_bcn Non Pho 20220401 | $478 |
| BCBS Trad | 615_blue Cross Blue Shield Traditional 20220401 | $478 |
| BCBS Trust Nonpho | 616_blue Cross Blue Shield Trust Non Pho 20220401 | $478 |
| Bcn Jvhl (M16) | 617_bcn Non Pho 20220401 Ppc M16 | $478 |
| Hap HMO | 655_hap Outpatient 20250101 | $522 |
| BCBS Bcn | 486_bcn 20201001 | $2,489 |
Inpatient
—cash price (self-pay)
—list price
$208–$760range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 657_medicare Replacement Inpatient 20251001 | $358 |
| Veteran'S Choice | 604_veteran'S Choice Inpatient 20211001 | $358 |
| Meridian Medicare | 658_medicare Advantage Meridian Inpatient 20251001 | $376 |
| Consumers Mutual | 576_consumers Mutual Inpatient 20211001 | $487 |
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