CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $1,515
- Cash Discount Price: $3,399
- vs. Medicare Baseline: 6.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Trinity Health Ann Arbor Hospital is $1,515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,399. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.21x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$3,399
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,515
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: $3,399 (1394%)
Insurance Median: $1,515 (621%)
Cash: $3,399 (1394% of Medicare)
Ins. Median: $1,515 (621% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 621% of the Medicare baseline (a markup of 521%). 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 |
|---|---|---|
| Aetna | $129 - $2,447 | 53% |
| Geha | $129 - $3,828 | 53% |
| Meritain | $129 | 53% |
| Blue Cross Blue Shield | $133 - $234 | 55% |
| Medicaid / KanCare | $133 - $136 | 55% |
| Bcn Domestic | $167 | 69% |
| Blue Benefit Administrators Of Massachusetts | $167 | 69% |
| Blue Care Network | $167 | 69% |
| Blue Distinction Transplant | $167 | 69% |
| Blue Shield - Ca | $167 | 69% |
| Blue Shield - Id (Regence) | $167 | 69% |
| Blue Shield - Ny Highmark Northeastern | $167 | 69% |
| Blue Shield - Ny Highmark Western | $167 | 69% |
| Blue Shield - Pa (Highmark) | $167 | 69% |
| Blue Shield - Wa (Regence) | $167 | 69% |
| Health Choices | $167 - $4,026 | 69% |
| Kaiser Domestic | $167 | 69% |
| Huron Valley Pace | $227 | 93% |
| Blue Care Network Advantage | $234 | 96% |
| Medicare (plans) | $234 - $239 | 96% |
| Align Senior Care | $239 | 98% |
| Angela Hospice | $239 | 98% |
| Hospice Advantage | $239 | 98% |
| UnitedHealthcare | $246 - $4,706 | 101% |
| Cca - Zing Health | $253 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $269 | 110% |
| Asr Health Benefits | $273 | 112% |
| Caresource | $273 | 112% |
| Hap | $273 - $4,024 | 112% |
| Varipro | $273 | 112% |
| Priority Health | $301 - $334 | 123% |
| Molina Marketplace | $310 | 127% |
| Health Cost Solutions | $370 | 152% |
| Vitalcore | $370 | 152% |
| Wellpath | $370 | 152% |
| U Of M Health Plan | $410 | 168% |
| Employee Benefit Logistic | $537 | 220% |
| Point Comfort Underwriters | $1,307 | 536% |
| Wc Accident Fund | $1,515 | 621% |
| Wc Advantage | $1,515 | 621% |
| Wc Aig | $1,515 | 621% |
| Wc Allied | $1,515 | 621% |
| Wc Amerisure | $1,515 | 621% |
| Wc Amtrust | $1,515 | 621% |
| Wc Asu Risk Mgt | $1,515 | 621% |
| Wc Berkley Admin | $1,515 | 621% |
| Wc Broadspire | $1,515 | 621% |
| Wc Bunch & Associates | $1,515 | 621% |
| Wc Ccmsi | $1,515 | 621% |
| Wc Emc Insurance Company | $1,515 | 621% |
| Wc Esis | $1,515 | 621% |
| Wc Fcci | $1,515 | 621% |
| Wc Federated | $1,515 | 621% |
| Wc Gallagher Bassett | $1,515 | 621% |
| Wc Genex Care For Ohio | $1,515 | 621% |
| Wc Guard Insurance Company | $1,515 | 621% |
| Wc Hartford | $1,515 | 621% |
| Wc Liberty Mutual | $1,515 | 621% |
| Wc Meijers | $1,515 | 621% |
| Wc Michigan | $1,515 | 621% |
| Wc Mitchell Frankenmuth | $1,515 | 621% |
| Wc Pma | $1,515 | 621% |
| Wc Sedgwick | $1,515 | 621% |
| Wc Sentry | $1,515 | 621% |
| Wc Travelers | $1,515 | 621% |
| Wc Tristar | $1,515 | 621% |
| Wc Walmart | $1,515 | 621% |
| Wc Zurich | $1,515 | 621% |
| Acs Benefit Services | $2,433 | 998% |
| Allied Benefit Systems | $2,433 | 998% |
| Claimchoice Adminstrators | $2,433 | 998% |
| Consociate | $2,433 | 998% |
| Cypress Benefit Administrators | $2,433 | 998% |
| Forest County Potawatomi | $2,433 | 998% |
| Health Smart | $2,433 | 998% |
| Healthgram | $2,433 | 998% |
| Healthscope | $2,433 | 998% |
| Secureone Preferred United Plans | $2,433 | 998% |
| Sisco Benefits | $2,433 | 998% |
| The Health Plan | $2,433 | 998% |
| Trustmark Small Business Benefits | $2,433 | 998% |
| Unified Group Services | $2,433 | 998% |
| Webtpa | $2,433 | 998% |
| Health Partners | $4,024 | 1651% |
| Tufts Health Plan | $4,024 | 1651% |
| 1199 National Benefit Fund | $4,026 | 1652% |
| Access Health | $4,026 | 1652% |
| Acclaim | $4,026 | 1652% |
| Administrative Concepts | $4,026 | 1652% |
| Allegeant | $4,026 | 1652% |
| Allied National Global Care | $4,026 | 1652% |
| Ameriben | $4,026 | 1652% |
| American Family | $4,026 | 1652% |
| American Healthcare Alliance | $4,026 | 1652% |
| American National | $4,026 | 1652% |
| American Republic | $4,026 | 1652% |
| Amerihealth | $4,026 | 1652% |
| Asrm - Reliance Standard Life Insurance | $4,026 | 1652% |
| Aultcare | $4,026 | 1652% |
| Automated Benefit Services | $4,026 | 1652% |
| Auxiant | $4,026 | 1652% |
| Benefit Administrative Systems,Llc | $4,026 | 1652% |
| Boon Chapman | $4,026 | 1652% |
| Cam Administrative Services | $4,026 | 1652% |
| Christian Brother Services | $4,026 | 1652% |
| Christian Brothers Holy Cross | $4,026 | 1652% |
| Christian Care Ministry | $4,026 | 1652% |
| Comprehensive Benefits | $4,026 | 1652% |
| Continental Life Insurance | $4,026 | 1652% |
| Coventry | $4,026 | 1652% |
| Custom Benefit Administrators | $4,026 | 1652% |
| Dean Health | $4,026 | 1652% |
| Employee Benefit Concepts | $4,026 | 1652% |
| Employee Benefit Management | $4,026 | 1652% |
| Enterprise Group Planning | $4,026 | 1652% |
| Fallon Health | $4,026 | 1652% |
| Family Life Insurance Company | $4,026 | 1652% |
| Freedom Life Insurance Company | $4,026 | 1652% |
| Ghc Scw | $4,026 | 1652% |
| Group Administrators | $4,026 | 1652% |
| Group Marketing Services | $4,026 | 1652% |
| Group Pension Administrators | $4,026 | 1652% |
| Guardian | $4,026 | 1652% |
| Health America | $4,026 | 1652% |
| Healthcare Management Admin | $4,026 | 1652% |
| Healthez | $4,026 | 1652% |
| Humana | $4,026 | 1652% |
| Insight | $4,026 | 1652% |
| Intercare | $4,026 | 1652% |
| International Benefit Administrators | $4,026 | 1652% |
| Jfp Benefit Management | $4,026 | 1652% |
| Jp Farley Corporation | $4,026 | 1652% |
| Key Benefit Administrator | $4,026 | 1652% |
| Liberty Union Life Assurance Co | $4,026 | 1652% |
| Lifetime Benefit Solutions | $4,026 | 1652% |
| Lucent Health | $4,026 | 1652% |
| Luminare Health | $4,026 | 1652% |
| Luminare Health (Detroit) | $4,026 | 1652% |
| Magnacare | $4,026 | 1652% |
| Manhattan Life | $4,026 | 1652% |
| Medben | $4,026 | 1652% |
| Medcost | $4,026 | 1652% |
| Medi Share | $4,026 | 1652% |
| Medical Mutual | $4,026 | 1652% |
| Multiplan | $4,026 | 1652% |
| Mutual Health Services | $4,026 | 1652% |
| Mutual Of Omaha | $4,026 | 1652% |
| Mvp | $4,026 | 1652% |
| Ncas | $4,026 | 1652% |
| Nippon Life Ins | $4,026 | 1652% |
| Nova | $4,026 | 1652% |
| Pai | $4,026 | 1652% |
| Painters Union Insurance Fund | $4,026 | 1652% |
| Pan-American Life | $4,026 | 1652% |
| Paramount Hmo | $4,026 | 1652% |
| Phcs | $4,026 | 1652% |
| Physicians Mutual | $4,026 | 1652% |
| Plumbers Local 98 Insurance Fund | $4,026 | 1652% |
| Prairie States | $4,026 | 1652% |
| Preferred One | $4,026 | 1652% |
| Primary Physician Care | $4,026 | 1652% |
| Professional Benefit Administrators | $4,026 | 1652% |
| Siho Insurance Services | $4,026 | 1652% |
| The Loomis Company | $4,026 | 1652% |
| Trinity Health Share | $4,026 | 1652% |
| Unicare | $4,026 | 1652% |
| Us Health And Life | $4,026 | 1652% |
| Valenz | $4,026 | 1652% |
| Western & Southern Financial Group | $4,026 | 1652% |
| Wps | $4,026 | 1652% |
| Cigna | $4,058 | 1665% |
| First Health | $4,127 | 1693% |
| Prime Health Services | $4,183 | 1716% |
| Correctional Healthcare Consultants | $4,691 | 1924% |
| Three Rivers Provider Network | $4,706 | 1931% |
| Bcccp-Michigan | $5,229 | 2145% |
| Cmh Detroit Wayne Integrated Health Network | $5,229 | 2145% |
| Cmh Lenawee County | $5,229 | 2145% |
| Cmh Livingston County | $5,229 | 2145% |
| Cmh Misc | $5,229 | 2145% |
| Cmh Monroe County | $5,229 | 2145% |
| Cmh Washtenaw County | $5,229 | 2145% |
| Crime Victim Assistance | $5,229 | 2145% |