CT abdomen and pelvis with contrast at Oaklawn Hospital. CPT 74177.
What Oaklawn Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
—cash price (self-pay)
$4,861list price
$190–$4,375range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Complete | $190 |
| McLaren Health Plan | Medicaid/MiChild | $190 |
| Priority Health | Medicaid | $190 |
| United Healthcare | Medicaid | $190 |
| Molina | Medicaid | $196 |
| Meridian Health Plan | Medicaid | $198 |
| Aetna | Better Health of Michigan | $200 |
| Centra Care - PACE | Senior Care Partners P.A. | $330 |
| Aetna | Aetna Better Health Premier Plan MI Health Link/Medicare | $348 |
| Blue Cross | Blue Cross Network (BCN) Advantage | $348 |
| Blue Cross | Highmark Blue Cross/Highmark Freedom Blue Advantage/Medic | $348 |
| Champva | Champva | $348 |
| HAP | Medicare | $348 |
| McLaren Health Plan | Medicare | $348 |
| Meridian Health Plan | Complete (Medicare / Medicaid) | $348 |
| Priority Health | Medicare | $348 |
| Tricare | Tricare | $348 |
| United Healthcare | Dual Complete/Medicare | $348 |
| VA | Battle Creek/Community Care/TriWest Healthcare | $348 |
| Molina | Medicare | $358 |
| Meridian Health Plan | Ambetter | $626 |
| Blue Cross | Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Mess | $2,068 |
| United Healthcare | Commercial | $2,674 |
| McLaren Health Plan | Commercial | $3,160 |
| CIGNA | Commercial/National Association of Letter Carriers | $3,305 |
| PHP Mid-Michigan | Commercial | $3,305 |
| Priority Health | Commercial | $3,305 |
| Cofinity | Advantage Business | $3,403 |
| Aetna | Mailhandlers Benefit Plan/Michigan Preferred/PPO | $3,646 |
| Cofinity | Workers Comp | $4,035 |
Inpatient
—cash price (self-pay)
$4,861list price
$3,160–$4,375range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA | Commercial/National Association of Letter Carriers | $3,160 |
| Priority Health | Commercial | $3,160 |
| McLaren Health Plan | Commercial | $3,305 |
| PHP Mid-Michigan | Commercial | $3,305 |
| Cofinity | Advantage Business | $3,403 |
| Aetna | Mailhandlers Benefit Plan/Michigan Preferred/PPO | $3,646 |
| Cofinity | Workers Comp | $4,035 |
| Hap | HMO/PPO | $4,132 |
| Cofinity | Auto | $4,375 |
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