CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Henry Ford Health St John Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $350
  • Cash Discount Price: $1,683
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Henry Ford Health St John Hospital is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,683. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.98x the Medicare baseline. Located in 22101 Moross Rd, Detroit, MI.
Cash / Self-Pay
$1,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$350

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: $1,683 (472%)
Insurance Median: $350 (98%)
Cash: $1,683 (472% of Medicare)
Ins. Median: $350 (98% 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.

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 $183 51%
Ahlic $241 68%
Hap Hmo $241 68%
Hap Preferred $241 68%
Priority Hmo $258 72%
Blue Cross Blue Shield $332 93%
Medicare (plans) $332 - $367 93%
Amerihealth Vip Care $346 97%
Aetna $350 98%
Harbor Advantage Hmo $350 98%
Tricare $350 98%
Veterans Choice $350 98%
Humana $353 99%
Meridian Wellcare $367 103%
Molina Advantage $367 103%
Molina Health Link $367 103%
Ambetter / Centene $437 123%
Molina Market Place $437 123%
Smarthealth $490 137%
Aaa-Auto Insurance $665 187%
Phcs Pos $829 233%
Phcs Ppo $829 233%
Ppom $1,947 - $3,005 546%

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