CT abdomen and pelvis with contrast at Trinity Health Livonia Hospital. CPT 74177.
What Trinity Health Livonia Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4,010cash price (self-pay)
$6,169list price
$191–$6,169range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meritain | Aetna PPO | $279 |
| Aetna | Aetna PPO | $279 |
| Angela Hospice | Angela Hospice | $348 |
| Kaiser Domestic | BCBS Trad / Trust | $352 |
| Blue Cross - Ut (Regence) | BCBS Trad / Trust | $352 |
| Blue Cross - Vt | BCBS Trad / Trust | $352 |
| Blue Shield - Pa (Highmark) | BCBS Trad / Trust | $352 |
| Blue Cross - Ri | BCBS Trad / Trust | $352 |
| Blue Cross - Sc | BCBS Trad / Trust | $352 |
| Blue Cross - Tn | BCBS Trad / Trust | $352 |
| Blue Shield - CA | BCBS Trad / Trust | $352 |
| Blue Cross - Co (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Ct (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - De (Highmark) | BCBS Trad / Trust | $352 |
| Blue Cross - Dc (Carefirst) | BCBS Trad / Trust | $352 |
| Blue Cross - Pa (Independence) | 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 - Sd (Wellmark) | BCBS Trad / Trust | $352 |
| Blue Cross - Al | BCBS Trad / Trust | $352 |
| Blue Cross - Ak (Premera) | BCBS Trad / Trust | $352 |
| Blue Cross - Az | BCBS Trad / Trust | $352 |
| Blue Cross - IL | BCBS Trad / Trust | $352 |
| Blue Cross - Wi (Anthem) | BCBS Trad / Trust | $352 |
| Blue Cross - Mn | BCBS Trad / Trust | $352 |
| Blue Cross - TX | BCBS Trad / Trust | $352 |
| Health Choices | BCBS Trad / Trust | $352 |
| Blue Shield - NY Highmark Western | BCBS Trad / Trust | $352 |
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