CT Abdomen & Pelvis With Contrast Cost
Ct abd & pelvis w/contrast
$657Hospital 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 $164 on the Medicare allowed amount for ct abdomen & pelvis with 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 with 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 74177
Work is about 20% of the office total RVU; practice expense is about 79%. 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: $300.27. Hospital (facility) physician rate: $300.27.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $60 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 With Contrast?
This CT scans the abdomen and pelvis with IV iodine contrast, the workhorse test for unexplained abdominal pain, suspected appendicitis or diverticulitis, infections, and cancer staging. The dye highlights organs, bowel, and blood vessels that blend together without it. An IV is placed, the dye produces a brief hot flush, and scanning takes seconds; plan on 30 to 45 minutes total, sometimes longer if oral contrast drink is required beforehand.
What Affects the Cost
- –IV contrast adds a supply charge, and facilities that also use oral contrast add preparation time though the drink itself is inexpensive.
- –A kidney function lab test may be required before dye in at-risk patients.
- –This is a staple ER scan, and emergency facility pricing multiplies the cost relative to a scheduled study.
- –Cancer staging and surveillance mean repeated scans on a schedule, so per-scan price differences compound over the years.
- –The professional reading fee covering two body regions bills separately at hospitals.
How It Is Billed
CPT 74177 is the combined abdomen-plus-pelvis code with contrast; a version scanning before and after dye (74178) bills higher. The iodinated contrast appears as its own supply line, and any pre-scan creatinine test is a separate lab claim. Watch for improper separate billing of abdomen and pelvis codes when the combined study was performed, and for ER claims, expect the facility fee to dominate every other line.
Insurance & Coverage Notes
Prior authorization applies to the scheduled outpatient version on nearly all commercial plans but never to genuine ER use. The authorization is contrast-specific, so confirm the approved protocol matches what is performed. Medicare Part B covers medically necessary scans at 20 percent coinsurance without authorization; for oncology patients on surveillance schedules, in-network freestanding centers can save thousands across a multi-year scan calendar.
Questions to Ask Before Booking
- 1.Does my authorization specify the with-contrast combined abdomen-pelvis study?
- 2.Will I need oral contrast too, and does it add time or charges?
- 3.Do I need kidney function labs first, and who bills those?
- 4.If this is part of ongoing cancer surveillance, what does each scan cost at my current facility versus an independent center?
- 5.Is the radiologist fee inside or outside the quoted price?
CT Abdomen & Pelvis With Contrast (CPT 74177): questions
The 2026 national Medicare physician rate for CPT 74177 is $300.27 in an office and $300.27 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.
For CPT 74177 the office and hospital physician rates are essentially the same ($300.27). The hospital will still usually add a separate facility fee that this page does not show.
This CT scans the abdomen and pelvis with IV iodine contrast, the workhorse test for unexplained abdominal pain, suspected appendicitis or diverticulitis, infections, and cancer staging. The dye highlights organs, bowel, and blood vessels that blend together without it. An IV is placed, the dye produces a brief hot flush, and scanning takes seconds; plan on 30 to 45 minutes total, sometimes longer if oral contrast drink is required beforehand. CMS bills it as “Ct abd & pelvis w/contrast.”
Not on its own. $300.27 is the physician allowed amount. Medicare also pays the facility, which takes the total to about $657 in a hospital outpatient department or about $493 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.