CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University of Michigan Health - West

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,865
Cash Discount Price: $1,710
vs. Medicare Baseline: 8.04x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University of Michigan Health - West is $2,865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,710. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.04x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$1,710

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,865

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: $1,710 (480%)

Insurance Median: $2,865 (804%)

Cash: $1,710 (480% of Medicare)

Ins. Median: $2,865 (804% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 804% of the Medicare baseline (a markup of 704%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$191 - $1,007	54%
Molina Healthcare Of Mi	$191	54%
Care Resources	$321	90%
Humana	$356 - $3,207	100%
Insight Metro Care	$356	100%
Medicare (plans)	$356	100%
Molina Marketplace Commercial	$356	100%
Priority Health	$666	187%
Aetna	$1,419 - $2,865	398%
Web Tpa	$1,879	527%
Alliance Health & Life Ppo	$2,865	804%
Asr Physicians	$2,865	804%
Hap	$2,865	804%
Golden Rule Ins	$3,083	865%
Medica	$3,083	865%
Student Ins/Mega Life	$3,083	865%
UnitedHealthcare	$3,083	865%
Asr Cofinity	$3,570	1002%
Cofinity Commercial	$3,570	1002%
Cofinity Weyco	$3,570	1002%
Core Source	$3,570	1002%
Epoch Group	$3,570	1002%
Health Partners	$3,570	1002%
Hlthcomp Admin	$3,570	1002%
Mid America	$3,570	1002%

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 $1,710.
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 University of Michigan Health - West 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.