CPT74176

CT Abdomen & Pelvis Without Contrast Cost in Hawaii

Ct abd & pelvis w/o contrast

$427Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Hawaii Medicare physician rate (2026)

+0.2% vs national

Single statewide locality.

Hawaii (Hospital)
$183.43
Facility physician fee
Private plan est.
$238–$367
~130–200% of Medicare
Cash / self-pay est.
$147–$275
~80–150% of Medicare

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.

Surgery centre, total
$286
$183 physician + $103 facility
Physician fee alone
$183
Only 43% of the hospital total

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.

Your ZIP in Hawaii

Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.

What ct abdomen & pelvis without contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.

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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 Hawaii

National office$183.04
National hospital (physician)$183.04
Hawaii vs nationalwithin 2% of the national office rate of $183.04

Where Hawaii ranks for this CPT

Rank (lowest physician fee first)#36 of 51
Lowest stateArkansas ($163.97)
Highest stateAlaska ($217.75)

CT Abdomen & Pelvis Without Contrast and how Hawaii is priced

Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.

Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.

This procedure: 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 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.

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 in Hawaii: questions

Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 74176 is $183.43 in an office and $183.43 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Hawaii 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 $37 for the office physician line or $37 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.

No. $183.43 is only the physician's share. Adding Medicare's facility payment brings the total to about $427 in a hospital outpatient department, or about $286 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Hawaii ranks #36 of 51 states on the physician line (within 2% of the national office rate of $183.04).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.