CT abdomen and pelvis with contrast at Trinity Health Shelby Hospital. CPT 74177.
What Trinity Health Shelby Hospital 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
$263–$2,845range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Medicaid | $268 |
| Access Health | Access Health | $542 |
| U Of M Health Plan | Univ Of Mi Hlth Plan Mi Care Network PPO | $668 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $759 |
| Correctional Recovery | Correctional Recovery | $775 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $775 |
| Oscar | Oscar EPO | $952 |
| Hospice Of Michigan | Hospice Of Michigan | $1,704 |
| Wc Mitchell Frankenmuth | Cofinity Workers Comp | $2,444 |
| Wc Asu Risk Mgt | Cofinity Workers Comp | $2,444 |
| Wc Genex Care For Ohio | Cofinity Workers Comp | $2,444 |
| Wc Meijers | Cofinity Workers Comp | $2,444 |
| Wc Advantage | Cofinity Workers Comp | $2,444 |
| Wc Walmart | Cofinity Workers Comp | $2,444 |
| Wc Hartford | Cofinity Workers Comp | $2,444 |
| Asr Health Benefits | Asr | $2,581 |
| Mvp | Multiplan | $2,665 |
| Pan-American Life | Multiplan | $2,665 |
| Manhattan Life | Multiplan | $2,665 |
| Intercare | Cofinity PPO | $2,774 |
| Medcost | Cofinity PPO | $2,774 |
| Mutual Of Omaha | Cofinity PPO | $2,774 |
| Liberty Union Life Assurance Co | Cofinity PPO | $2,774 |
| The Loomis Company | Cofinity PPO | $2,774 |
| Unicare | Cofinity PPO | $2,774 |
| Health America | Cofinity PPO | $2,774 |
| Healthgram | Cofinity PPO | $2,774 |
| Administrative Concepts | Cofinity PPO | $2,774 |
| Painters Union Insurance Fund | Cofinity PPO | $2,774 |
| Trustmark Small Business Benefits | Cofinity PPO | $2,774 |
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