CT abdomen and pelvis with contrast at Trinity Health Grand Rapids. CPT 74177.
What Trinity Health Grand Rapids publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,014cash price (self-pay)
$3,099list price
$195–$3,099range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hospice Faith | Hospice Faith | $348 |
| Blue Cross - Az | BCBS Trad / Trust | $352 |
| Blue Cross - TX | BCBS Trad / Trust | $352 |
| Blue Cross - Ut (Regence) | BCBS Trad / Trust | $352 |
| Blue Cross - Vt | BCBS Trad / Trust | $352 |
| Blue Cross - Va (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Va (Carefirst) | BCBS Trad / Trust | $352 |
| Blue Cross - De (Highmark) | BCBS Trad / Trust | $352 |
| Blue Cross - Ar | BCBS Trad / Trust | $352 |
| Blue Cross - Ks | BCBS Trad / Trust | $352 |
| Blue Cross - Mo (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Nd | BCBS Trad / Trust | $352 |
| Blue Cross - Ne | BCBS Trad / Trust | $352 |
| Blue Cross - Oh (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Wi (Anthem) | BCBS Trad / Trust | $352 |
| Priority Health | Priority Health HMO | $854 |
| Priority Health | Priority Health PPO | $1,042 |
| Unified Group Services | Cofinity Advantage Business | $1,782 |
| Claimchoice Adminstrators | Cofinity Advantage Business | $1,782 |
| Health Smart | Cofinity Advantage Business | $1,782 |
| Cypress Benefit Administrators | Cofinity Advantage Business | $1,782 |
| Caresource | Hap HMO | $2,025 |
| Employee Benefit Concepts | Cofinity PPO | $2,358 |
| Jfp Benefit Management | Cofinity PPO | $2,358 |
| Plumbers Local 98 Insurance Fund | Cofinity PPO | $2,358 |
| Automated Benefit Services | Cofinity PPO | $2,358 |
| American Healthcare Alliance | Cofinity PPO | $2,358 |
| Healthez | Cofinity PPO | $2,358 |
| Valenz | Cofinity PPO | $2,358 |
| Ameriben | Cofinity PPO | $2,358 |
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