CT abdomen and pelvis with contrast at University Of Michigan Health. CPT 74177.
What University Of Michigan Health publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$208cash price (self-pay)
$5,063list price
$196–$5,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [3001] | Medicaid Michigan [300106] | $196 |
| AmeriHealth Michigan Inc | Medicare Advantage | $202 |
| Huron Valley PACE | Medicare Advantage | $240 |
| BCBS [100001] | BCBS Medicare Plus Blue PPO [10000107] | $252 |
| Aetna Better Health of Michigan Inc | Medicare Advantage | $252 |
| Aetna Health Management LLC | Medicare Advantage | $252 |
| Blue Care Network of Michigan | Medicare Advantage | $252 |
| Health Alliance Plan | Medicare Advantage | $252 |
| Humana Health Plan Inc | Medicare Advantage | $252 |
| McLaren Health Plan Inc | Medicare Advantage | $252 |
| Meridian Health Plan of Michigan Inc | Medicare Advantage | $252 |
| Paramount Health Care | Medicare Advantage | $252 |
| Molina Healthcare of Michigan Inc | Medicare Advantage | $257 |
| BCBS [100001] | BCBS Michigan Traditional [10000102] | $416 |
| Point Comfort Underwriters Unaccompanied Children Program | HMO | $2,177 |
| Priority Health [1038] | Priority Strategic Business Discount HMO/POS | $2,329 |
| MetroCare | PPO | $2,380 |
| Colorado State Medicaid | Medicaid Out of State | $2,532 |
| Unitedhealthcare [1042] | UHC [104202] | $2,633 |
| United Healthcare Insurance Company | PPO NB | $2,633 |
| Hap [1023] | Hap HMO [102304] | $2,780 |
| Aetna [1003] | Aetna Mi Preferred Apm [100309] | $2,906 |
| Confinity Advantage | PPO | $2,921 |
| Plain Church Group | PPO | $3,038 |
| Priority Health [1038] | Priority HMO POS [103801] | $3,301 |
| McLaren Health Plan Inc | HMO | $3,350 |
| Beaumont Health Network | PPO | $3,544 |
| Provider Network of America | PPO | $3,544 |
| Nomi Health | PPO | $3,544 |
| Aetna [1003] | Aetna PPO [100307] | $3,554 |
Inpatient
$208cash price (self-pay)
$520list price
$54.95–$5,381range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [3001] | Medicaid Michigan [300106] | $54.95 |
| AmeriHealth Michigan Inc | Medicare Advantage | $63.38 |
| Huron Valley PACE | Medicare Advantage | $75.27 |
| BCBS [100001] | BCBS Medicare Plus Blue PPO [10000107] | $79.22 |
| Aetna Better Health of Michigan Inc | Medicare Advantage | $79.22 |
| Aetna Health Management LLC | Medicare Advantage | $79.22 |
| Blue Care Network of Michigan | Medicare Advantage | $79.22 |
| Health Alliance Plan | Medicare Advantage | $79.22 |
| Humana Health Plan Inc | Medicare Advantage | $79.22 |
| McLaren Health Plan Inc | Medicare Advantage | $79.22 |
| Meridian Health Plan of Michigan Inc | Medicare Advantage | $79.22 |
| Paramount Health Care | Medicare Advantage | $79.22 |
| Molina Healthcare of Michigan Inc | Medicare Advantage | $80.81 |
| BCBS [100001] | BCBS Michigan Traditional [10000102] | $127 |
| Point Comfort Underwriters Unaccompanied Children Program | HMO | $224 |
| Priority Health [1038] | Priority Strategic Business Discount HMO/POS | $239 |
| MetroCare | PPO | $244 |
| Colorado State Medicaid | Medicaid Out of State | $260 |
| Hap [1023] | Hap HMO [102304] | $285 |
| Aetna [1003] | Aetna Mi Preferred Apm [100309] | $298 |
| McLaren Health Plan Inc | HMO | $312 |
| Plain Church Group | PPO | $312 |
| First Health | PPO | $338 |
| Aetna [1003] | Aetna PPO [100307] | $343 |
| Cofinity | PPO | $343 |
| Confinity Advantage | PPO | $343 |
| Priority Health [1038] | Priority HMO POS [103801] | $348 |
| Beaumont Health Network | PPO | $364 |
| Provider Network of America | PPO | $364 |
| Nomi Health | PPO | $364 |
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