CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Trinity Health Oakland Hospital
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $1,872
- Cash Discount Price: $4,193
- vs. Medicare Baseline: 5.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Trinity Health Oakland Hospital is $1,872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,193. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.25x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$4,193
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,872
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $4,193 (1176%)
Insurance Median: $1,872 (525%)
Cash: $4,193 (1176% of Medicare)
Ins. Median: $1,872 (525% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 525% of the Medicare baseline (a markup of 425%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $191 - $195 | 54% |
| Blue Cross Blue Shield | $195 - $352 | 55% |
| Aetna | $279 - $2,795 | 78% |
| Geha | $279 - $4,627 | 78% |
| Medical Mutual | $279 | 78% |
| Meritain | $279 | 78% |
| Blue Care Network Advantage | $341 | 96% |
| Medicare (plans) | $341 - $348 | 96% |
| Align Senior Care | $348 | 98% |
| Hospice Advantage | $348 | 98% |
| Bcn Domestic | $352 | 99% |
| Blue Benefit Administrators Of Massachusetts | $352 | 99% |
| Blue Care Network | $352 | 99% |
| Blue Distinction Transplant | $352 | 99% |
| Blue Shield - Ca | $352 | 99% |
| Blue Shield - Id (Regence) | $352 | 99% |
| Blue Shield - Ny Highmark Northeastern | $352 | 99% |
| Blue Shield - Ny Highmark Western | $352 | 99% |
| Blue Shield - Pa (Highmark) | $352 | 99% |
| Blue Shield - Wa (Regence) | $352 | 99% |
| Health Choices | $352 - $4,528 | 99% |
| Kaiser Domestic | $352 | 99% |
| UnitedHealthcare | $358 - $4,627 | 100% |
| Cca - Zing Health | $368 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $392 | 110% |
| Priority Health | $412 - $458 | 116% |
| Molina Marketplace | $452 | 127% |
| Asr Health Benefits | $524 | 147% |
| Caresource | $524 | 147% |
| Hap | $524 - $4,492 | 147% |
| Varipro | $524 | 147% |
| Health Cost Solutions | $539 | 151% |
| Vitalcore | $539 | 151% |
| Wellpath | $539 | 151% |
| U Of M Health Plan | $668 | 187% |
| Employee Benefit Logistic | $802 | 225% |
| Wc Accident Fund | $1,872 | 525% |
| Wc Advantage | $1,872 | 525% |
| Wc Aig | $1,872 | 525% |
| Wc Allied | $1,872 | 525% |
| Wc Amerisure | $1,872 | 525% |
| Wc Amtrust | $1,872 | 525% |
| Wc Asu Risk Mgt | $1,872 | 525% |
| Wc Berkley Admin | $1,872 | 525% |
| Wc Broadspire | $1,872 | 525% |
| Wc Bunch & Associates | $1,872 | 525% |
| Wc Ccmsi | $1,872 | 525% |
| Wc Emc Insurance Company | $1,872 | 525% |
| Wc Esis | $1,872 | 525% |
| Wc Fcci | $1,872 | 525% |
| Wc Federated | $1,872 | 525% |
| Wc Gallagher Bassett | $1,872 | 525% |
| Wc Genex Care For Ohio | $1,872 | 525% |
| Wc Guard Insurance Company | $1,872 | 525% |
| Wc Hartford | $1,872 | 525% |
| Wc Liberty Mutual | $1,872 | 525% |
| Wc Meijers | $1,872 | 525% |
| Wc Michigan | $1,872 | 525% |
| Wc Mitchell Frankenmuth | $1,872 | 525% |
| Wc Pma | $1,872 | 525% |
| Wc Sedgwick | $1,872 | 525% |
| Wc Sentry | $1,872 | 525% |
| Wc Travelers | $1,872 | 525% |
| Wc Tristar | $1,872 | 525% |
| Wc Walmart | $1,872 | 525% |
| Wc Zurich | $1,872 | 525% |
| Acs Benefit Services | $2,714 | 761% |
| Allied Benefit Systems | $2,714 | 761% |
| Claimchoice Adminstrators | $2,714 | 761% |
| Consociate | $2,714 | 761% |
| Cypress Benefit Administrators | $2,714 | 761% |
| Forest County Potawatomi | $2,714 | 761% |
| Health Smart | $2,714 | 761% |
| Healthgram | $2,714 | 761% |
| Healthscope | $2,714 | 761% |
| Secureone Preferred United Plans | $2,714 | 761% |
| Sisco Benefits | $2,714 | 761% |
| The Health Plan | $2,714 | 761% |
| Trustmark Small Business Benefits | $2,714 | 761% |
| Unified Group Services | $2,714 | 761% |
| Webtpa | $2,714 | 761% |
| Mclaren Health | $2,965 - $3,234 | 832% |
| Carelon Behavioral Health | $3,084 | 865% |
| Magellan Behavioral Health | $3,701 | 1038% |
| 1199 National Benefit Fund | $4,195 | 1177% |
| Allied National Global Care | $4,195 | 1177% |
| Asrm - Reliance Standard Life Insurance | $4,195 | 1177% |
| Christian Care Ministry | $4,195 | 1177% |
| Dean Health | $4,195 | 1177% |
| Fallon Health | $4,195 | 1177% |
| Family Life Insurance Company | $4,195 | 1177% |
| Ghc Scw | $4,195 | 1177% |
| Group Pension Administrators | $4,195 | 1177% |
| International Benefit Administrators | $4,195 | 1177% |
| Lifetime Benefit Solutions | $4,195 | 1177% |
| Manhattan Life | $4,195 | 1177% |
| Medi Share | $4,195 | 1177% |
| Multiplan | $4,195 | 1177% |
| Mvp | $4,195 | 1177% |
| Pai | $4,195 | 1177% |
| Pan-American Life | $4,195 | 1177% |
| Paramount Hmo | $4,195 | 1177% |
| Phcs | $4,195 | 1177% |
| Trinity Health Share | $4,195 | 1177% |
| Health Partners | $4,492 | 1260% |
| Tufts Health Plan | $4,492 | 1260% |
| Access Health | $4,528 | 1270% |
| Acclaim | $4,528 | 1270% |
| Administrative Concepts | $4,528 | 1270% |
| Allegeant | $4,528 | 1270% |
| Ameriben | $4,528 | 1270% |
| American Family | $4,528 | 1270% |
| American Healthcare Alliance | $4,528 | 1270% |
| American National | $4,528 | 1270% |
| American Republic | $4,528 | 1270% |
| Amerihealth | $4,528 | 1270% |
| Aultcare | $4,528 | 1270% |
| Automated Benefit Services | $4,528 | 1270% |
| Auxiant | $4,528 | 1270% |
| Benefit Administrative Systems,Llc | $4,528 | 1270% |
| Boon Chapman | $4,528 | 1270% |
| Cam Administrative Services | $4,528 | 1270% |
| Christian Brother Services | $4,528 | 1270% |
| Christian Brothers Holy Cross | $4,528 | 1270% |
| Comprehensive Benefits | $4,528 | 1270% |
| Continental Life Insurance | $4,528 | 1270% |
| Custom Benefit Administrators | $4,528 | 1270% |
| Employee Benefit Concepts | $4,528 | 1270% |
| Employee Benefit Management | $4,528 | 1270% |
| Enterprise Group Planning | $4,528 | 1270% |
| Freedom Life Insurance Company | $4,528 | 1270% |
| Group Administrators | $4,528 | 1270% |
| Group Marketing Services | $4,528 | 1270% |
| Guardian | $4,528 | 1270% |
| Health America | $4,528 | 1270% |
| Healthcare Management Admin | $4,528 | 1270% |
| Healthez | $4,528 | 1270% |
| Humana | $4,528 | 1270% |
| Insight | $4,528 | 1270% |
| Intercare | $4,528 | 1270% |
| Jfp Benefit Management | $4,528 | 1270% |
| Jp Farley Corporation | $4,528 | 1270% |
| Key Benefit Administrator | $4,528 | 1270% |
| Liberty Union Life Assurance Co | $4,528 | 1270% |
| Lucent Health | $4,528 | 1270% |
| Luminare Health | $4,528 | 1270% |
| Luminare Health (Detroit) | $4,528 | 1270% |
| Magnacare | $4,528 | 1270% |
| Medben | $4,528 | 1270% |
| Medcost | $4,528 | 1270% |
| Mutual Health Services | $4,528 | 1270% |
| Mutual Of Omaha | $4,528 | 1270% |
| Ncas | $4,528 | 1270% |
| Nippon Life Ins | $4,528 | 1270% |
| Nova | $4,528 | 1270% |
| Painters Union Insurance Fund | $4,528 | 1270% |
| Physicians Mutual | $4,528 | 1270% |
| Plumbers Local 98 Insurance Fund | $4,528 | 1270% |
| Prairie States | $4,528 | 1270% |
| Preferred One | $4,528 | 1270% |
| Primary Physician Care | $4,528 | 1270% |
| Professional Benefit Administrators | $4,528 | 1270% |
| Siho Insurance Services | $4,528 | 1270% |
| The Loomis Company | $4,528 | 1270% |
| Unicare | $4,528 | 1270% |
| Us Health And Life | $4,528 | 1270% |
| Valenz | $4,528 | 1270% |
| Western & Southern Financial Group | $4,528 | 1270% |
| Wps | $4,528 | 1270% |
| Cigna | $4,572 | 1283% |
| Coventry | $4,650 | 1305% |
| First Health | $4,650 | 1305% |
| Prime Health Services | $4,935 | 1385% |
| Three Rivers Provider Network | $5,552 | 1558% |
| Cmh Detroit Wayne Integrated Health Network | $6,169 | 1731% |
| Cmh Lenawee County | $6,169 | 1731% |
| Cmh Livingston County | $6,169 | 1731% |
| Cmh Misc | $6,169 | 1731% |
| Cmh Monroe County | $6,169 | 1731% |
| Cmh Oakland County | $6,169 | 1731% |
| Cmh Washtenaw County | $6,169 | 1731% |