How Much Does CT Abdomen and Pelvis with Contrast Cost?
Also known as: Ct abd&plv wo cntr flwd cntr (CPT 74178)
A combined CT scan of your abdomen and pelvis done both without and with contrast for the most comprehensive evaluation.
CT Abdomen and Pelvis with Contrast (CPT 74178) costs $338 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 Abdomen and Pelvis with Contrast
What you need to know before your appointment
What to Expect
Two full scans from abdomen to pelvis: first without contrast, then after IV contrast injection. This is the most thorough CT evaluation of abdominal and pelvic organs.
How Long Does It Take?
45-60 minutes total
Common Reasons Doctors Order This
Comprehensive cancer workup, liver or kidney mass characterization, complex abdominal/pelvic disease
How to Prepare
Fast for 4 hours. Drink oral contrast if provided. Report all allergies and kidney problems to staff.
Procedures Commonly Done Together
These procedures are frequently performed alongside Ct abd&plv wo cntr flwd cntr
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 | $1,826 | $319 - $14,266 | 8 |
| United | $1,690 | $245 - $12,801 | 10 |
| Cigna | $3,430 | $302 - $14,686 | 8 |
| Humana | $2,966 | $336 - $13,637 | 8 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $921 | $533 - $1,670 | 5 |
| Multiplan | $5,559 | $617 - $25,602 | 6 |
| BCBS-TX | $1,054 | $558 - $1,661 | 2 |
| BCBS | $1,790 | $358 - $9,956 | 4 |
| Wellpoint | $591 | $350 - $1,340 | 2 |
| Anthem | $1,630 | $229 - $7,734 | 2 |
| CHC | $5,360 | $265 - $11,539 | 2 |
| UNITED | $606 | $356 - $1,111 | 2 |
How to Reduce Your Cost for Ct abd&plv wo cntr flwd cntr
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 (10.12) x CF ($33.40) = $338
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.
People Also Ask
Common questions people search for about this procedure
Can I pay for a CT scan out of pocket?
The average price of a CT scan can be anywhere from 00 to ,750. However, your cost will depend on many factors, including the place of service and body area scanned. Some health plans may cover authorized CT scans. However, you may still have out-of-pocket costs such as copays, coinsurance, or deductibles.
How much does a CT scan cost in the ER?
Here are the national average costs for a CT at the three most common types of facilities: Outpatient imaging center: 25. Hospital inpatient: average ,750. Emergency room: Inpatient fee plus ,000.
Can a CT scan detect a brain tumor?
How much is a CT scan for kidneys?
Shop with On MDsave, the cost of a Renal Scan ranges from 29 to ,878.
Frequently Asked Questions
How much does Ct abd&plv wo cntr flwd cntr cost?
The Medicare facility rate for Ct abd&plv wo cntr flwd cntr is $338. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Ct abd&plv wo cntr flwd cntr cost without insurance?
Without insurance, the cost of Ct abd&plv wo cntr flwd cntr 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&plv wo cntr flwd cntr?
Most commercial health insurance plans and Medicare cover Ct abd&plv wo cntr flwd cntr 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.