CT Abdomen & Pelvis Without Contrast Cost
Ct abd & pelvis w/o contrast
$324Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a CT abdomen & pelvis without contrast costs up to about $324 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $183 covers the whole test, and a ZIP code adjusts every figure to your area.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
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- ✓Filled good-faith-estimate request letter
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- ✓Printable PDF download
National Medicare physician rate (2026)
What the whole procedure costs
The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.
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. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. 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.
For example 90001.
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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 center 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. For this code the office and hospital physician lines differ by $103.21.
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: $79.83.
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.
CT Abdomen & Pelvis Without Contrast cost by state
2026 Medicare non-hospital rate for CPT 74176, averaged across each state's localities. Open a state for its locality table and full cost breakdown.
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
Under 2026 Medicare rates, a CT abdomen & pelvis without contrast costs up to about $324 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $183 covers the whole test, and a ZIP code adjusts every figure to your area.
Outside a hospital, one global fee pays for the equipment, the staff and the doctor's reading, so the office or imaging center rate for CPT 74176 is $183.04. In a hospital the physician bills only the reading, about $79.83, and the hospital is paid for the rest on its own claim.
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.”
It depends on the setting. At an independent imaging center, lab or office, $183.04 is Medicare's full national rate, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $79.83) and the hospital is paid separately, which takes the total to about $324. 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.