Price Checker / CPT 74177
How much does CT scan — abdomen and pelvis (with contrast) cost?
CPT 74177 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 9.7x the fair price. This is well above fair — push back or dispute it.
Fair price
$450–$900
What this should cost
With insurance
~$85,200
Typical out-of-pocket
Overcharged if over
$1,150
Push back above this
The average hospital charge of $6,623 is $5,943 over the fair price (about 9.7x the fair rate).
What hospitals charge for CT scan — abdomen and pelvis (with contrast)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Vaughan Regional Medical Center Parkway Campus Selma, AL | $31,299 | — | 10324% |
| Wythe County Community Hospital WYTHEVILLE, VA | $17,048 | — | 5578% |
| Clinch Valley Health , VA | $13,391 | — | 4360% |
| Cornerstone Specialty Hospitals Austin Austin, TX | $12,482 | — | 4057% |
| Cornerstone Specialty Hospitals Bossier City Bossier City, LA | $12,482 | — | 4057% |
| Cornerstone Specialty Hospitals Huntington Huntington, WV | $12,483 | — | 4057% |
| Cornerstone Specialty Hospitals Round Rock Round Rock, TX | $12,482 | — | 4057% |
| Cornerstone Specialty Hospitals Southwest Louisiana Lake Charles, LA | $12,482 | — | 4057% |
| Cornerstone Specialty Hospitals Tucson Tucson, AZ | $12,482 | — | 4057% |
| Cornerstone Specialty Hospitals West Monroe West Monroe, LA | $12,482 | — | 4057% |
| Maria Parham Health , NC | $11,866 | — | 3852% |
| Cornerstone Hospital Conroe Conroe, TX | $11,665 | — | 3785% |
| Cornerstone Specialty Hospitals Muskogee Muskogee, OK | $11,665 | — | 3785% |
| Solara Specialty Hospital Mcallen Mc Allen, TX | $11,665 | — | 3785% |
| Solara Specialty Hospitals Brownsville Brownsville, TX | $11,665 | — | 3785% |
Were you billed for this procedure?
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About CT scan — abdomen and pelvis (with contrast)
CPT code 74177 refers to ct scan — abdomen and pelvis (with contrast) (billing description: "Ct abd & pelvis w/contrast"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $300 in a facility (hospital or surgery center) and $300 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.