CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Henry Ford Health St John Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $237
  • Cash Discount Price: $1,430
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Henry Ford Health St John Hospital is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,430. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.97x the Medicare baseline. Located in 22101 Moross Rd, Detroit, MI.
Cash / Self-Pay
$1,430

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

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: $1,430 (587%)
Insurance Median: $237 (97%)
Cash: $1,430 (587% of Medicare)
Ins. Median: $237 (97% 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.

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
Meridian Health Plan $101 41%
Ahlic $128 53%
Hap Hmo $128 53%
Hap Preferred $128 53%
Priority Hmo $133 55%
Blue Cross Blue Shield $171 70%
Medicare (plans) $225 - $249 92%
Amerihealth Vip Care $234 96%
Aetna $237 97%
Harbor Advantage Hmo $237 97%
Tricare $237 97%
Veterans Choice $237 97%
Humana $239 98%
Meridian Wellcare $249 102%
Molina Advantage $249 102%
Molina Health Link $249 102%
Ambetter / Centene $296 121%
Molina Market Place $296 121%
Smarthealth $332 136%
Aaa-Auto Insurance $450 185%
Phcs Pos $460 189%
Phcs Ppo $460 189%
Ppom $1,655 - $2,554 679%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22101 Moross Rd, Detroit, MI 48236
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals