How Much Does CT Scan of the Abdomen and Pelvis without Contrast Cost?
Also known as: Ct abd & pelvis without contrast (CPT 74176)
A combined CT scan of your abdomen and pelvis without contrast, covering everything from your diaphragm to your hips.
CT Scan of the Abdomen and Pelvis without Contrast (CPT 74176) costs $183 at Medicare rates.
The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.
Patient Guide: CT Scan of the Abdomen and Pelvis without Contrast
What you need to know before your appointment
What to Expect
You lie on the CT table while the scanner captures images from your upper abdomen down through your pelvis in one continuous scan.
How Long Does It Take?
15-20 minutes
Common Reasons Doctors Order This
Abdominal and pelvic pain, trauma evaluation, kidney stones, screening for abnormalities
How to Prepare
Remove metal from your midsection. No fasting usually needed for non-contrast. Inform staff if pregnant.
Procedures Commonly Done Together
These procedures are frequently performed alongside Ct abd & pelvis without contrast
What Insurance Companies Actually Pay
Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Aetna | $1,525 | $216 - $10,994 | 8 |
| United | $1,176 | $155 - $8,423 | 10 |
| Humana | $1,915 | $227 - $10,509 | 8 |
| Cigna | $2,385 | $227 - $11,318 | 7 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $557 | $323 - $1,010 | 5 |
| BCBS-TX | $687 | $340 - $1,014 | 2 |
| BCBS | $1,132 | $198 - $6,551 | 4 |
| Wellpoint | $460 | $188 - $1,340 | 2 |
| Multiplan | $3,110 | $393 - $16,845 | 6 |
| CHC | $4,082 | $198 - $8,892 | 2 |
| Anthem | $580 | $266 - $946 | 2 |
| UNITED | $330 | $190 - $592 | 2 |
How to Reduce Your Cost for Ct abd & pelvis without contrast
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (5.48) x CF ($33.40) = $183
Related Procedures
Similar procedures in the same category or body system
Consider These Alternatives
Depending on your clinical situation, these alternatives may be appropriate and could save you money.
Note: Alternative procedures may not be clinically appropriate for all patients. Always consult your physician to determine the best option for your specific situation.
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Frequently Asked Questions
How much does Ct abd & pelvis without contrast cost?
The Medicare facility rate for Ct abd & pelvis without contrast is $183. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Ct abd & pelvis without contrast cost without insurance?
Without insurance, the cost of Ct abd & pelvis without contrast can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Ct abd & pelvis without contrast?
Most commercial health insurance plans and Medicare cover Ct abd & pelvis without contrast when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.