CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $86
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Henry Ford Health West Bloomfield Hospital is $86. 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 $356.43, this hospital’s rate is 0.24x 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
$86

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%)
Insurance Median: $86 (24%)
Ins. Median: $86 (24% 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
Aetna $55 - $836 15%
Amerihealth Michigan $55 - $343 15%
Mclaren Health Plan Inc. $55 - $86 15%
Meridian $55 - $86 15%
Priority $58 - $86 16%
Molina $59 - $472 17%
Hap $73 - $350 20%
Humana $80 - $357 22%
Pace Se Mi $81 23%
Bcn $86 - $350 24%
Blue Cross Blue Shield $86 - $530 24%
Cca Health Mi $86 24%
Health Alliance Plan Of Michigan $86 24%
Mount Carmel Health Plan $86 - $350 24%
United Behavioral Health, Inc. $86 24%
UnitedHealthcare $86 - $1,348 24%
Wellcare Ma $86 24%
Vitalcore Physicians Group Of Mi $111 - $805 31%
Mclaren $113 32%
Meridian Health Plan Of Mi $113 - $472 32%
Priority Health $113 - $839 32%
Cigna $122 - $3,053 34%
Pace Of Se Mi $332 93%
Cca Health Michigan $350 98%
Erickson $350 98%
Hap Caresource $350 98%
Mclaren Health $350 - $2,167 98%
Molina Mi Health Link $350 98%
Wellcare $353 99%
Multiplan, Inc. $2,517 706%
University Of Michigan $3,005 843%
Cofinity Group Health $3,050 856%

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