CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: McLaren Macomb

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $201
Cash Discount Price: $515
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at McLaren Macomb is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $515. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.56x the Medicare baseline. Located in 1000 Harrington St, Mount Clemens, MI.

Cash / Self-Pay

$515

Average discount available for prompt cash payment at this facility.

Insurance Median

$201

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: $515 (144%)

Insurance Median: $201 (56%)

Cash: $515 (144% of Medicare)

Ins. Median: $201 (56% 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.

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
Medicaid / KanCare	$55 - $205	15%
Humana	$82 - $348	23%
Medicare (plans)	$82 - $557	23%
Mclaren Commercial Ins	$95 - $524	27%
U Of M Health Plan	$95	27%
UnitedHealthcare	$107 - $1,233	30%
Aetna	$111 - $1,128	31%
Priority Health	$124 - $1,024	35%
Blue Cross Blue Shield	$137 - $1,448	38%
Tricare	$315	88%
Mi Amish Medical Board	$348	98%
Workers Compensation	$597	167%
Cofinity Auto	$662	186%
Cofinity Group 15892 & 15893	$950	267%

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 $515.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm McLaren Macomb is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.