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Procedure price report · CT scan abdomen

CT scan of abdomen and pelvis, before and after contrast

CPT 74178the billing code this page is about

Computed tomography imaging of the abdomen and pelvis taken without contrast dye in one or both areas and then repeated after contrast dye is given.

Hospitals typically charge $2,952 cash for this outpatient procedure — the median across 3,353 hospitals that filed a usable cash price; the average of the middle 60% is $3,090. Most fall between $1,298 and $5,391 (20th–80th percentile).

Hospitals
3,353
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,353 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$699$1,602$2,952$4,795$7,653

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($699 vs $7,653).

How the prices are spread

$451 – $625: 115 hospitals$451$625 – $865: 149 hospitals$865 – $1,198: 178 hospitals$865$1,198 – $1,659: 272 hospitals$1,659 – $2,297: 388 hospitals$1,659$2,297 – $3,181: 529 hospitals$3,181 – $4,404: 566 hospitals$3,181$4,404 – $6,098: 474 hospitals$6,098 – $8,443: 231 hospitals$6,098$8,443 – $11,691: 118 hospitals$8,443median $2,952price bands are equal on a log scale
Hospitals per price band (3,020 of 3,353 — the bands cover the 5th to 95th percentile)
FromToHospitals
$451$625115
$625$865149
$865$1,198178
$1,198$1,659272
$1,659$2,297388
$2,297$3,181529
$3,181$4,404566
$4,404$6,098474
$6,098$8,443231
$8,443$11,691118

Against Medicare

Medicare pays (OPPS 2026, national rate)$356
Median cash price$2,952
Cash as a multiple of Medicare8.3×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,952.

Alaska: median $4,036 across 17 hospitalsAK$4,036Maine: median $2,030 across 25 hospitalsME$2,030Vermont: median $4,131 across 12 hospitalsVT$4,131New Hampshire: median $2,830 across 22 hospitalsNH$2,830Washington: median $3,294 across 69 hospitalsWA$3,294Idaho: median $2,263 across 22 hospitalsID$2,263Montana: median $3,124 across 19 hospitalsMT$3,124North Dakota: median $2,842 across 32 hospitalsND$2,842Minnesota: median $2,281 across 100 hospitalsMN$2,281Illinois: median $4,383 across 136 hospitalsIL$4,383Wisconsin: median $2,955 across 108 hospitalsWI$2,955Michigan: median $2,627 across 86 hospitalsMI$2,627New York: median $1,375 across 106 hospitalsNY$1,375Massachusetts: median $2,699 across 52 hospitalsMA$2,699Oregon: median $2,442 across 46 hospitalsOR$2,442Nevada: median $3,430 across 21 hospitalsNV$3,430Wyoming: median $2,800 across 14 hospitalsWY$2,800South Dakota: median $6,127 across 43 hospitalsSD$6,127Iowa: median $3,500 across 88 hospitalsIA$3,500Indiana: median $1,635 across 96 hospitalsIN$1,635Ohio: median $2,275 across 142 hospitalsOH$2,275Pennsylvania: median $2,526 across 114 hospitalsPA$2,526New Jersey: median $875 across 55 hospitalsNJ$875Connecticut: median $2,525 across 22 hospitalsCT$2,525Rhode Island: median $1,638 across 10 hospitalsRI$1,638California: median $4,472 across 217 hospitalsCA$4,472Utah: median $4,795 across 43 hospitalsUT$4,795Colorado: median $3,224 across 67 hospitalsCO$3,224Nebraska: median $5,188 across 83 hospitalsNE$5,188Missouri: median $2,704 across 75 hospitalsMO$2,704Kentucky: median $2,964 across 67 hospitalsKY$2,964West Virginia: median $2,013 across 42 hospitalsWV$2,013Virginia: median $3,401 across 71 hospitalsVA$3,401Maryland: median $350 across 38 hospitalsMD$350Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,177 across 53 hospitalsAZ$2,177New Mexico: median $4,115 across 30 hospitalsNM$4,115Kansas: median $1,966 across 87 hospitalsKS$1,966Arkansas: median $1,550 across 36 hospitalsAR$1,550Tennessee: median $1,946 across 77 hospitalsTN$1,946North Carolina: median $3,810 across 95 hospitalsNC$3,810South Carolina: median $4,319 across 53 hospitalsSC$4,319Oklahoma: median $2,268 across 71 hospitalsOK$2,268Louisiana: median $1,542 across 55 hospitalsLA$1,542Mississippi: median $1,700 across 49 hospitalsMS$1,700Alabama: median $2,288 across 40 hospitalsAL$2,288Georgia: median $2,594 across 105 hospitalsGA$2,594Hawaii: median $2,763 across 17 hospitalsHI$2,763Texas: median $4,136 across 245 hospitalsTX$4,136Florida: median $6,972 across 174 hospitalsFL$6,972
Cash price by state, most expensive first. National median $2,952. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL174$6,972+136%$2,134 – $23,351
South Dakota SD43$6,127+108%$4,544 – $7,380
Nebraska NE83$5,188+76%$3,460 – $6,073
Utah UT43$4,795+62%$2,931 – $4,795
California CA217$4,472+51%$1,991 – $8,514
Illinois IL136$4,383+48%$2,550 – $7,106
South Carolina SC53$4,319+46%$2,442 – $5,875
Texas TX245$4,136+40%$2,036 – $8,430
Vermont VT12$4,131+40%$2,163 – $5,848
New Mexico NM30$4,115+39%$2,538 – $5,741
Alaska AK17$4,036+37%$1,913 – $7,167
North Carolina NC95$3,810+29%$2,534 – $5,394
Iowa IA88$3,500+19%$2,743 – $4,518
Nevada NV21$3,430+16%$1,671 – $6,042
Virginia VA71$3,401+15%$2,050 – $6,916
Washington WA69$3,294+12%$1,673 – $4,559
Colorado CO67$3,224+9%$1,806 – $5,718
Montana MT19$3,124+6%$2,231 – $3,774
Kentucky KY67$2,9640%$1,434 – $6,093
Wisconsin WI108$2,9550%$1,142 – $4,610
North Dakota ND32$2,842−4%$2,445 – $3,061
New Hampshire NH22$2,830−4%$2,111 – $6,802
Wyoming WY14$2,800−5%$1,276 – $4,960
Hawaii HI17$2,763−6%$2,128 – $3,473
Missouri MO75$2,704−8%$1,573 – $4,445
Massachusetts MA52$2,699−9%$1,291 – $4,176
Michigan MI86$2,627−11%$1,024 – $4,736
Georgia GA105$2,594−12%$1,401 – $5,840
Pennsylvania PA114$2,526−14%$525 – $5,479
Connecticut CT22$2,525−14%$1,145 – $3,140
Oregon OR46$2,442−17%$2,249 – $4,286
Alabama AL40$2,288−23%$1,236 – $4,259
Minnesota MN100$2,281−23%$866 – $3,807
Ohio OH142$2,275−23%$1,602 – $3,249
Oklahoma OK71$2,268−23%$1,216 – $3,298
Idaho ID22$2,263−23%$1,792 – $3,078
Arizona AZ53$2,177−26%$631 – $6,068
Maine ME25$2,030−31%$1,108 – $2,826
West Virginia WV42$2,013−32%$1,458 – $3,401
Kansas KS87$1,966−33%$795 – $3,472
Tennessee TN77$1,946−34%$588 – $3,687
Mississippi MS49$1,700−42%$1,135 – $2,568
Rhode Island RI10$1,638−45%$792 – $2,900
Indiana IN96$1,635−45%$832 – $3,539
Arkansas AR36$1,550−48%$384 – $3,636
Louisiana LA55$1,542−48%$739 – $2,904
New York NY106$1,375−53%$685 – $4,863
New Jersey NJ55$875−70%$421 – $1,825
Maryland MD38$350−88%$244 – $485
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,952.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,354$2,897$1,159 – $5,665
Children’s63$4,176$2,763 – $6,347
Critical access926$2,966$1,583 – $4,865
Ownership
For-profit485$4,407$1,717 – $16,805
Government604$2,772$1,298 – $4,820
Non-profit2,254$2,855$1,236 – $5,006
System affiliation
Part of a system2,758$3,078$1,333 – $5,633
Independent595$2,548$1,159 – $4,543

Cash price vs list price

Median list price (chargemaster)$4,982
Median cash price$2,952
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,283 hospitals filed a usable inpatient cash price for this code. The median is $3,078 and the average of the middle 60% is $3,235; most fall between $1,545 and $5,362.

Cash price percentiles, inpatient, across 2,283 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$850$1,765$3,078$4,861$6,939

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($850 vs $6,939).

Of the 2,542 hospitals that filed this code inpatient, 2,283 gave a usable cash price; 148 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 111 a list price only.

How complete is this

3,353 of the 3,956 hospitals with a price file in our corpus (85%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,721 hospitals that filed this code at all gave us
Usable cash price — counted3,353
Cash price carrying a plausibility flag — shown on the compare tool, excluded here246
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded121
Hospitals that filed this code3,721

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the CT scan abdomen family.

Hospitals file this code under descriptions such as CT Abd&Plv W/O Cntrst 1/Bth Flwd Cntrst 1/Bth.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “CT scan of abdomen and pelvis, before and after contrast (CPT 74178) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-74178-ct-scan-of-abdomen-and-pelvis-before-and-after-contrast