CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sparrow Ionia Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,235
Cash Discount Price: $660
vs. Medicare Baseline: 3.46x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sparrow Ionia Hospital is $1,235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.46x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.

Cash / Self-Pay

$660

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,235

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: $660 (185%)

Insurance Median: $1,235 (346%)

Cash: $660 (185% of Medicare)

Ins. Median: $1,235 (346% 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 346% of the Medicare baseline (a markup of 246%). 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	$55 - $392	15%
Medicare (plans)	$82 - $1,310	23%
Blue Cross Blue Shield	$137 - $3,097	38%
Priority Health Medihmo	$356	100%
Aetna	$374 - $3,704	105%
Covenant Advantage	$1,235	346%
Medigold	$1,235	346%
Senior Community Care	$1,235	346%
Humana	$1,296 - $4,001	364%
Priority	$3,031	850%
UnitedHealthcare	$3,788	1063%
Cigna	$3,912	1098%
Great West Healthcare	$3,912	1098%
Asr	$3,951	1108%
Blue Care Network	$3,951	1108%
Health Alliance Plan	$3,951	1108%
Cofinity	$4,001	1123%
Mclaren Commercial	$4,401	1235%

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 $660.
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 Sparrow Ionia Hospital 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.