Price Checker / CPT 74178
How much does CT scan — abdomen and pelvis (with and without contrast) cost?
CPT 74178 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 9x the fair price. This is well above fair — push back or dispute it.
Fair price
$510–$1,000
What this should cost
With insurance
~$81,900
Typical out-of-pocket
Overcharged if over
$1,250
Push back above this
The average hospital charge of $6,859 is $6,099 over the fair price (about 9x the fair rate).
What hospitals charge for CT scan — abdomen and pelvis (with and without 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 | $34,471 | — | 10098% |
| Gateway Regional Medical Center Granite City, IL | $8,365 | — | 7275% |
| Clinch Valley Health , VA | $19,743 | — | 5741% |
| Wythe County Community Hospital WYTHEVILLE, VA | $18,880 | — | 5486% |
| Cornerstone Hospital Little Rock Little Rock, AR | $17,976 | — | 5218% |
| Palacios Community Medical Center Palacios, TX | $1,870 | — | 4246% |
| St. Elizabeth Hospital Fort Morgan, CO | $14,548 | — | 4075% |
| Maria Parham Health , NC | $14,028 | — | 4050% |
| Wilson Medical Center WILSON, NC | $13,494 | — | 3892% |
| Georgetown Community Hospital GEORGETOWN, KY | $12,626 | — | 3635% |
| Spring View Hospital LEBANON, KY | $12,324 | — | 3546% |
| Kindred Hospital Bay Area - St. Petersburg St. Petersburg, FL | $11,982 | — | 3445% |
| Kindred Hospital Bay Area - Tampa Tampa, FL | $11,982 | — | 3445% |
| Kindred Hospital Central Tampa Tampa, FL | $11,982 | — | 3445% |
| Kindred Hospital Melbourne Melbourne, FL | $11,982 | — | 3445% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About CT scan — abdomen and pelvis (with and without contrast)
CPT code 74178 refers to ct scan — abdomen and pelvis (with and without contrast) (billing description: "Ct abd&plv wo cntr flwd cntr"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $338 in a facility (hospital or surgery center) and $338 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.