CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ascension Genesys Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $220
Cash Discount Price: $1,365
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ascension Genesys Hospital is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,365. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.90x the Medicare baseline. Located in One Genesys Parkway, Grand Blanc, MI.

Cash / Self-Pay

$1,365

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

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: $1,365 (560%)

Insurance Median: $220 (90%)

Cash: $1,365 (560% of Medicare)

Ins. Median: $220 (90% 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
Aetna	$133	55%
Genesee Health Plan	$141	58%
Medicaid / KanCare	$141	58%
Hap Hmo	$158 - $514	65%
Hap Php	$164	67%
Cofinity	$184	75%
Bcn Jvhl (M16)	$220	90%
Blue Cross Blue Shield	$220 - $1,871	90%
Medicare (plans)	$243 - $255	100%
Veteran'S Choice	$243	100%
Consumers Mutual	$330	135%

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 $1,365.
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 Genesys Hospital 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.