CT abdomen and pelvis with contrast at Hillsdale Community Health Center. CPT 74177.
What Hillsdale Community Health Center publishes for this service, straight from its standard-charges file, last updated January 23, 2026.
Outpatient / ER
$2,445cash price (self-pay)
$2,876list price
$182–$2,732range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $182 |
| BCBS | Medicaid | $182 |
| Meridian Health Plan | Medicaid | $182 |
| UHC | Medicaid | $182 |
| Aetna | Medicare Advantage | $279 |
| Cofinity | Commercial | $279 |
| Thome PACE | Medicare Advantage | $331 |
| Medicare | Medicare | $348 |
| Amerigroup | Medicare Advantage | $348 |
| BCBS | Medicare Advantage | $348 |
| HAP | Medicare Advantage | $348 |
| Humana | Medicare Advantage | $348 |
| Priority Health | Medicare Advantage | $348 |
| United Healthcare | Medicare Advantage | $348 |
| VCPG | Medicaid | $435 |
| Cigna | Commercial | $800 |
| Nomi HSA | Commercial | $871 |
| Paramount | MI HMO | $1,611 |
| BCBS | Commercial | $1,806 |
| Front Path | Commercial | $2,042 |
| HAP | All Commercial | $2,157 |
| McLaren | All Commercial | $2,157 |
| Priority Health | All Commercial | $2,229 |
| United Healthcare | Commercial | $2,301 |
| Paramount | OH HMO and PPO | $2,330 |
| Aetna | Commercial | $2,355 |
| Multiplan | Commercial | $2,732 |
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