CT Abdomen & Pelvis With Contrast Cost
Ct abd & pelvis w/contrast
$440Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a CT abdomen & pelvis with contrast costs up to about $440 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $300 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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- ✓Everything in the Premium report
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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 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.
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 $216.43.
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: $83.84.
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.
CT Abdomen & Pelvis With Contrast cost by state
2026 Medicare non-hospital rate for CPT 74177, averaged across each state's localities. Open a state for its locality table and full cost breakdown.
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
Under 2026 Medicare rates, a CT abdomen & pelvis with contrast costs up to about $440 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $300 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 74177 is $300.27. In a hospital the physician bills only the reading, about $83.84, and the hospital is paid for the rest on its own claim.
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.”
It depends on the setting. At an independent imaging center, lab or office, $300.27 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 $83.84) and the hospital is paid separately, which takes the total to about $440. 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.