How Much Does CT Scan of the Abdomen and Pelvis with Contrast Cost?
Also known as: Ct abd & pelvis w/contrast (CPT 74177)
A combined CT scan of your abdomen and pelvis with contrast dye for detailed evaluation of abdominal and pelvic organs.
CT Scan of the Abdomen and Pelvis with Contrast (CPT 74177) costs $300 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 with Contrast
What you need to know before your appointment
What to Expect
An IV is placed for contrast injection. You may drink oral contrast. The scanner captures images from your upper abdomen through your pelvis. You may feel warm during contrast injection.
How Long Does It Take?
30-45 minutes including oral contrast prep
Common Reasons Doctors Order This
Abdominal pain, appendicitis, diverticulitis, cancer staging, infection evaluation, post-surgical complications
How to Prepare
Fast for 4 hours. Drink oral contrast if provided. Report allergies to contrast dye and kidney problems.
Procedures Commonly Done Together
These procedures are frequently performed alongside Ct abd & pelvis w/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 | $1,554 | $319 - $13,088 | 8 |
| United | $1,711 | $245 - $10,520 | 10 |
| Cigna | $4,092 | $302 - $13,473 | 8 |
| Humana | $2,581 | $336 - $12,511 | 8 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $822 | $476 - $1,490 | 5 |
| BCBS | $1,470 | $328 - $8,182 | 4 |
| BCBS-TX | $1,054 | $558 - $1,661 | 2 |
| Multiplan | $7,783 | $617 - $21,039 | 6 |
| Wellpoint | $573 | $312 - $1,340 | 2 |
| Anthem | $2,280 | $559 - $13,406 | 2 |
| CHC | $4,915 | $265 - $10,586 | 2 |
| Community Health Choice MCD | $318 | $318 | 2 |
How to Reduce Your Cost for Ct abd & pelvis w/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 (8.99) x CF ($33.40) = $300
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.
Frequently Asked Questions
How much does Ct abd & pelvis w/contrast cost?
The Medicare facility rate for Ct abd & pelvis w/contrast is $300. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Ct abd & pelvis w/contrast cost without insurance?
Without insurance, the cost of Ct abd & pelvis w/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 w/contrast?
Most commercial health insurance plans and Medicare cover Ct abd & pelvis w/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.