CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $222
Cash Discount Price: $1,641
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ascension Providence Hospital, Southfield and Novi is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,641. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.91x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.

Cash / Self-Pay

$1,641

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,641 (673%)

Insurance Median: $222 (91%)

Cash: $1,641 (673% of Medicare)

Ins. Median: $222 (91% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$101 - $237	41%
Molina Health	$101 - $137	41%
Priority Ppo	$114	47%
Hap Alliance Health	$128	53%
Hap Hmo Pos	$128	53%
Priority Health Hmo	$133	55%
Blue Caid Michigan	$137	56%
Harbor Health Mcd	$137	56%
Total Health Care	$137	56%
UnitedHealthcare	$137	56%
Hap Preferred	$150	62%
Bc Metro Detroit Epo	$169 - $222	69%
Bc Metro Detroit Hmo	$190 - $222	78%
Bcn Local Network Southeast	$190 - $222	78%
Amerihealth Vip Care Mcr	$204 - $234	84%
Blue Care Network	$220 - $222	90%
Blue Cross Blue Shield	$220 - $222	90%
Aetna	$237 - $332	97%
Auto Insurance	$237	97%
Jvhl - Mcr Replacement	$237	97%
Mcr Replacement	$237	97%
Veterans Choice	$237	97%
Humana	$239	98%
Meridian Wellcare	$249	102%
Molina Advantage	$249	102%
Ambetter / Centene	$296	121%
Molina Marketplace	$296	121%
Smart Health	$327	134%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,641.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ascension Providence Hospital, Southfield and Novi is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.