CT abdomen and pelvis with contrast at McLaren Macomb. CPT 74177.
What McLaren Macomb publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$117cash price (self-pay)
$1,826list price
$54.95–$1,448range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| U of M Health Plan | U of M Health Plan | $94.85 |
| McLaren Commercial Ins | McLaren Commercial Ins | $95.04 |
| Priority Health | Priority Health | $124 |
| Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $125 |
| Medicaid - Molina | Medicaid - Molina | $129 |
| Medicaid - United | Medicaid - United | $130 |
| Medicaid - Midwest | Medicaid - Midwest | $195 |
| Medicaid - Meridian | Medicaid - Meridian | $195 |
| Medicaid - Total Healthcare | Medicaid - Total Healthcare | $195 |
| Medicare - Priority Health | Medicare - Priority Health | $215 |
| Traditional Medicare HMO/PPO | Traditional Medicare HMO/PPO | $215 |
| Medicare - Humana | Medicare - Humana | $215 |
| Medicare - United | Medicare - United | $217 |
| Medicare - Molina | Medicare - Molina | $220 |
| Tricare | Tricare | $315 |
| MI Amish Medical Board | MI Amish Medical Board | $348 |
| Medicare - Fidelis | Medicare - Fidelis | $362 |
| Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Lo | $557 |
| Workers Compensation | Workers Compensation | $597 |
| Cofinity Aetna | Cofinity Aetna | $620 |
| Cofinity Auto | Cofinity Auto | $662 |
| United Healthcare | United Healthcare | $670 |
| Blue Cross Blue Shield | Blue Cross Blue Shield | $793 |
| Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $950 |
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