CT Abdomen & Pelvis With Contrast Cost in District of Columbia
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
District of Columbia Medicare physician rate (2026)
+15.3% vs nationalSingle statewide locality.
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.
Your ZIP in District of Columbia
Enter a ZIP code to see how the DC locality applies to your address, whether you are in the District itself, Bethesda or Silver Spring on the Maryland side, or Arlington and Alexandria in Virginia.
What ct abdomen & pelvis with contrast costs at hospitals near you
Everything above is a national average. The hospital you pick in District of Columbia 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.
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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 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.
National vs District of Columbia
Where District of Columbia ranks for this CPT
CT Abdomen & Pelvis With Contrast and how District of Columbia is priced
The District of Columbia is unusual in the fee schedule: it forms its own high-cost locality that reaches beyond the city line to cover close-in Maryland and Virginia suburbs, including areas such as Montgomery and Prince George's counties and the Arlington and Alexandria side of the Potomac. Its geographic indices are among the highest in the country, reflecting the region's wages and office costs. As a result, DC-area Medicare-approved amounts run well above those in the rest of Maryland or Virginia, and the boundary of that locality can matter more than the state line. A patient in Bethesda is priced with Washington, not with Baltimore.
The Washington area is dense with hospitals, including multiple academic medical centers and large regional systems competing across the district and its suburbs. That density gives patients real choice within a short distance, which is rare in American health care. Federal employment also means an unusually well-insured population, so cash-pay and Medicare-rate comparisons are most useful for those outside employer coverage.
This procedure: 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 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.
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?
Other featured procedures in District of Columbia
CT Abdomen & Pelvis With Contrast in other states
CT Abdomen & Pelvis With Contrast in District of Columbia: questions
District of Columbia is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 74177 is $346.11 in an office and $346.11 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. District of Columbia uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $69 for the office physician line or $69 for the hospital physician line in District of Columbia. Medigap may cover that 20%. This is not the hospital facility fee.
No. $346.11 is only the physician's share. Adding Medicare's facility payment brings the total to about $657 in a hospital outpatient department, or about $493 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. District of Columbia ranks #51 of 51 states on the physician line (15% above the national office rate of $300.27).