CPT74177

CT Abdomen & Pelvis With Contrast Cost in Illinois

Ct abd & pelvis w/contrast

$657Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Illinois Medicare physician rate (2026)

-1.3% vs national

Average of 4 localities. Office range $282.12–$310.43.

Illinois (Hospital)
$296.45
Facility physician fee
Private plan est.
$385–$593
~130–200% of Medicare
Cash / self-pay est.
$237–$445
~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
$493
$300 physician + $193 facility
Physician fee alone
$300
Only 46% of the hospital total

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 Illinois

Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.

What ct abdomen & pelvis with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in Illinois 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 Illinois

National office$300.27
National hospital (physician)$300.27
Illinois vs nationalwithin 2% of the national office rate of $300.27

Where Illinois ranks for this CPT

Rank (lowest physician fee first)#28 of 51
Lowest stateArkansas ($264.78)
Highest stateDistrict of Columbia ($346.11)

CPT 74177 by Illinois locality

LocalityOffice
suburban chicago$310.43
chicago$307.50
east st. louis$285.73
rest of illinois$282.12

PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.

CT Abdomen & Pelvis With Contrast and how Illinois is priced

Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.

Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.

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?

CT Abdomen & Pelvis With Contrast in Illinois: questions

The 2026 Medicare physician office rate for CPT 74177 averages $296.45 across 4 Illinois localities, from $282.12 in REST OF ILLINOIS to $310.43 in SUBURBAN CHICAGO. The hospital physician rate averages $296.45. Enter a ZIP for the exact locality.

Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $28.31 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $59 for the office physician line or $59 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.

No. $296.45 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. Illinois ranks #28 of 51 states on the physician line (within 2% of the national office rate of $300.27).

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.