CPT74177

CT Abdomen & Pelvis With Contrast Cost in Michigan

Ct abd & pelvis w/contrast

$657Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Michigan Medicare physician rate (2026)

-4.2% vs national

Average of 2 localities. Office range $280.23–$294.96.

Michigan (Hospital)
$287.60
Facility physician fee
Private plan est.
$374–$575
~130–200% of Medicare
Cash / self-pay est.
$230–$431
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$493
$300 physician + $193 facility
Physician fee alone
$300
Only 46% of the hospital total

Choosing a surgery centre over a hospital saves about $164 on the Medicare allowed amount for ct abdomen & pelvis with contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Michigan

Enter your ZIP code to see whether Detroit-area or rest-of-state rates apply, from Detroit, Ann Arbor, and Flint to Grand Rapids, Lansing, Traverse City, and the Upper Peninsula.

What ct abdomen & pelvis with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in Michigan moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Michigan

National office$300.27
National hospital (physician)$300.27
Michigan vs national4% below the national office rate of $300.27

Where Michigan ranks for this CPT

Rank (lowest physician fee first)#21 of 51
Lowest stateArkansas ($264.78)
Highest stateDistrict of Columbia ($346.11)

CPT 74177 by Michigan locality

LocalityOffice
detroit$294.96
rest of michigan$280.23

PE GPCI ranges from 0.913 to 0.965 in Michigan. That index is why the same CPT is not one price statewide.

CT Abdomen & Pelvis With Contrast and how Michigan is priced

Michigan divides into a Detroit metro locality and a rest-of-state locality, so the fee schedule prices southeast Michigan above Grand Rapids, Lansing, and the northern reaches. Detroit's locality reflects the metro's higher wage and cost structure, while everywhere else in the Lower and Upper Peninsulas shares one set of lower adjustments. The result is a simple two-tier state where the main question is whether your care happens inside the Detroit area or out. Upper Peninsula residents, despite their remoteness, price the same as Grand Rapids under the rest-of-state locality.

Southeast Michigan concentrates the state's academic medicine and largest hospital systems, with Ann Arbor's university medical center serving as a top national referral destination. West Michigan has built a strong hospital hub in Grand Rapids, while the Upper Peninsula's small population depends on a few regional hospitals and sometimes crosses into Wisconsin for care. Auto-industry benefit legacies still shape how many Michiganders experience health coverage.

This procedure: This CT scans the abdomen and pelvis with IV iodine contrast, the workhorse test for unexplained abdominal pain, suspected appendicitis or diverticulitis, infections, and cancer staging. The dye highlights organs, bowel, and blood vessels that blend together without it. An IV is placed, the dye produces a brief hot flush, and scanning takes seconds; plan on 30 to 45 minutes total, sometimes longer if oral contrast drink is required beforehand.

What Is CT Abdomen & Pelvis With Contrast?

This CT scans the abdomen and pelvis with IV iodine contrast, the workhorse test for unexplained abdominal pain, suspected appendicitis or diverticulitis, infections, and cancer staging. The dye highlights organs, bowel, and blood vessels that blend together without it. An IV is placed, the dye produces a brief hot flush, and scanning takes seconds; plan on 30 to 45 minutes total, sometimes longer if oral contrast drink is required beforehand.

What Affects the Cost

  • IV contrast adds a supply charge, and facilities that also use oral contrast add preparation time though the drink itself is inexpensive.
  • A kidney function lab test may be required before dye in at-risk patients.
  • This is a staple ER scan, and emergency facility pricing multiplies the cost relative to a scheduled study.
  • Cancer staging and surveillance mean repeated scans on a schedule, so per-scan price differences compound over the years.
  • The professional reading fee covering two body regions bills separately at hospitals.

Questions to Ask Before Booking

  • 1.Does my authorization specify the with-contrast combined abdomen-pelvis study?
  • 2.Will I need oral contrast too, and does it add time or charges?
  • 3.Do I need kidney function labs first, and who bills those?
  • 4.If this is part of ongoing cancer surveillance, what does each scan cost at my current facility versus an independent center?
  • 5.Is the radiologist fee inside or outside the quoted price?

CT Abdomen & Pelvis With Contrast in Michigan: questions

The 2026 Medicare physician office rate for CPT 74177 averages $287.60 across 2 Michigan localities, from $280.23 in REST OF MICHIGAN to $294.96 in DETROIT. The hospital physician rate averages $287.60. Enter a ZIP for the exact locality.

Yes. CMS splits Michigan into 2 payment localities. For this CPT the office physician fee spans $14.73 from the lowest to highest locality. Enter your ZIP code to see whether Detroit-area or rest-of-state rates apply, from Detroit, Ann Arbor, and Flint to Grand Rapids, Lansing, Traverse City, and the Upper Peninsula.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $58 for the office physician line or $58 for the hospital physician line in Michigan. Medigap may cover that 20%. This is not the hospital facility fee.

No. $287.60 is only the physician's share. Adding Medicare's facility payment brings the total to about $657 in a hospital outpatient department, or about $493 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Michigan ranks #21 of 51 states on the physician line (4% below the national office rate of $300.27).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.