CPT 74160 Radiology

How Much Does CT Abdomen with Contrast Cost?

Also known as: Ct abdomen w/contrast (CPT 74160)

A CT scan of your abdomen with contrast dye for enhanced organ visualization.

CT Abdomen with Contrast (CPT 74160) costs $230 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.

Medicare (Facility)
$230
CMS PFS 2026 national rate

Patient Guide: CT Abdomen with Contrast

What you need to know before your appointment

What to Expect

An IV line is placed for contrast injection. You may also drink oral contrast liquid. You lie on the CT table while detailed abdominal images are captured.

How Long Does It Take?

30-45 minutes (including time for oral contrast)

Common Reasons Doctors Order This

Abdominal pain evaluation, liver or kidney mass, appendicitis, diverticulitis, cancer staging

How to Prepare

Fast for 4 hours. You may need to drink oral contrast 1-2 hours before. Report allergies to contrast dye and kidney problems.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ct abdomen w/contrast

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How to Reduce Your Cost for Ct abdomen 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.

1.24
Work RVU
5.56
Practice Expense RVU
0.09
Malpractice RVU
6.89
Total RVU

Payment = Total RVU (6.89) x CF ($33.40) = $230

Frequently Asked Questions

How much does Ct abdomen w/contrast cost?

The Medicare facility rate for Ct abdomen w/contrast is $230. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ct abdomen w/contrast cost without insurance?

Without insurance, the cost of Ct abdomen 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 abdomen w/contrast?

Most commercial health insurance plans and Medicare cover Ct abdomen 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.

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