Price Checker / CPT 74181
How much does MRI Abdomen Without Contrast cost?
CPT 74181 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 11x the fair price — among the most extreme markups. Dispute this.
Fair price
$290–$580
What this should cost
With insurance
~$78,300
Typical out-of-pocket
Overcharged if over
$730
Push back above this
The average hospital charge of $4,859 is $4,419 over the fair price (about 11x the fair rate).
What hospitals charge for MRI Abdomen 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 |
|---|---|---|---|
| WTH Dyersburg Hospital , TN | — | $177 | 38912% |
| Wilson Medical Center WILSON, NC | $10,549 | — | 5345% |
| Thayer County Health Services Hebron, NE | $3,641 | — | 3617% |
| UPMC Magee , PA | $6,717 | $5,374 | 3367% |
| Genoa Medical Facilities Genoa, NE | $3,416 | — | 3248% |
| Cornerstone Hospital Conroe Conroe, TX | $5,637 | — | 2810% |
| Cornerstone Hospital Little Rock Little Rock, AR | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Austin Austin, TX | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Bossier City Bossier City, LA | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Broken Arrow Broken Arrow, OK | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Huntington Huntington, WV | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Muskogee Muskogee, OK | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Round Rock Round Rock, TX | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Southwest Louisiana Lake Charles, LA | $5,637 | — | 2810% |
| Cornerstone Specialty Hospitals Tucson Tucson, AZ | $5,637 | — | 2810% |
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 MRI Abdomen Without Contrast
CPT code 74181 refers to mri abdomen without contrast (billing description: "Mri abdomen w/o contrast"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $194 in a facility (hospital or surgery center) and $194 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.