CT Abdomen & Pelvis Without Contrast Cost
Ct abd & pelvis w/o contrast
$427Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
National Medicare physician rate (2026)
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $141 on the Medicare allowed amount for ct abdomen & pelvis without contrast. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Get the rate for your ZIP
CMS adjusts this CPT by locality. A five-digit ZIP is enough — no account, no insurance card.
What ct abdomen & pelvis without contrast costs at hospitals near you
Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
How CMS prices CPT 74176
Work is about 31% of the office total RVU; practice expense is about 67%. Localities with a high PE GPCI move this code more when practice expense is a large share.
Office vs hospital for this code
Office (non-facility) physician rate: $183.04. Hospital (facility) physician rate: $183.04.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $37 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.
Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.
What Is CT Abdomen & Pelvis Without Contrast?
A CT of the abdomen and pelvis without contrast scans everything from the diaphragm to the hips in one pass lasting seconds on the table. The non-contrast version is the standard test for suspected kidney stones, where dye is unnecessary because stones show up brightly on their own. You lie on the scanner table, hold your breath briefly, and the entire appointment takes about 15 minutes with no IV and no preparation.
What Affects the Cost
- –Emergency department pricing for this scan, where it is often ordered for belly pain, towers over scheduled outpatient rates.
- –Freestanding imaging centers offer the same combined study at a fraction of hospital charges.
- –If the clinical question needs contrast, the study becomes 74177 with dye and administration charges added.
- –Kidney stone patients often get repeat scans across episodes, and the costs accumulate with each recurrence.
- –The radiologist fee for reading two body regions is billed separately at many facilities.
How It Is Billed
CPT 74176 is a combined code covering both the abdomen and pelvis in one scan; separate abdomen-only and pelvis-only codes exist, and billing both separates when the combined code applies is improper unbundling worth challenging. Technical and professional components split at hospitals and merge at most independent centers. No contrast supply charge should appear on this non-contrast code.
Insurance & Coverage Notes
Scheduled outpatient CT of the abdomen and pelvis requires prior authorization on most commercial plans, but scans ordered in the emergency department bypass authorization under emergency care rules; the trade-off is far higher facility pricing plus your plan's ER cost sharing. Medicare applies standard Part B coinsurance without authorization. For recurrent kidney stone patients, some clinicians can use low-dose protocols or ultrasound to limit both radiation and cost across repeat episodes.
Questions to Ask Before Booking
- 1.Is my situation urgent enough for the ER, or can this be scheduled outpatient at a much lower price?
- 2.Has prior authorization been obtained if this is scheduled?
- 3.Am I being billed the combined abdomen-pelvis code rather than two separate scans?
- 4.For recurring stones, could ultrasound or a low-dose protocol work for follow-ups?
- 5.What is the total including the radiologist reading at your facility versus an imaging center?
CT Abdomen & Pelvis Without Contrast (CPT 74176): questions
The 2026 national Medicare physician rate for CPT 74176 is $183.04 in an office and $183.04 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.
For CPT 74176 the office and hospital physician rates are essentially the same ($183.04). The hospital will still usually add a separate facility fee that this page does not show.
A CT of the abdomen and pelvis without contrast scans everything from the diaphragm to the hips in one pass lasting seconds on the table. The non-contrast version is the standard test for suspected kidney stones, where dye is unnecessary because stones show up brightly on their own. You lie on the scanner table, hold your breath briefly, and the entire appointment takes about 15 minutes with no IV and no preparation. CMS bills it as “Ct abd & pelvis w/o contrast.”
Not on its own. $183.04 is the physician allowed amount. Medicare also pays the facility, which takes the total to about $427 in a hospital outpatient department or about $286 at an ambulatory surgery centre. Anesthesia, pathology and imaging interpretation billed under other codes are separate again. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.
For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.