CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $81
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Henry Ford Health West Bloomfield Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.33x the Medicare baseline. Located in 6777 West Maple Road, W Bloomfield, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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%)
Insurance Median: $81 (33%)
Ins. Median: $81 (33% 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
Aetna $52 - $387 21%
Amerihealth Michigan $52 - $232 21%
Mclaren Health Plan Inc. $52 - $81 21%
Meridian $52 - $81 21%
Blue Cross Blue Shield $54 - $249 22%
Hap $54 - $237 22%
Mclaren $54 22%
Meridian Health Plan Of Mi $54 - $320 22%
Priority Health $54 - $400 22%
Priority $55 - $81 23%
Molina $56 - $320 23%
Humana $77 - $242 32%
Pace Se Mi $77 32%
Bcn $81 - $237 33%
Cca Health Mi $81 33%
Health Alliance Plan Of Michigan $81 33%
Mount Carmel Health Plan $81 - $237 33%
United Behavioral Health, Inc. $81 33%
UnitedHealthcare $81 - $1,348 33%
Wellcare Ma $81 33%
Vitalcore Physicians Group Of Mi $105 - $545 43%
Cigna $117 - $2,095 48%
Pace Of Se Mi $225 92%
Cca Health Michigan $237 97%
Erickson $237 97%
Hap Caresource $237 97%
Mclaren Health $237 - $1,487 97%
Molina Mi Health Link $237 97%
Wellcare $239 98%
Multiplan, Inc. $1,727 708%
University Of Michigan $2,062 846%
Cofinity Group Health $2,093 859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6777 West Maple Road, W Bloomfield, MI 48322
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals