CPT74177

How Much Does a CT Abdomen & Pelvis With Contrast Cost in Maine?

Ct abd & pelvis w/contrast

$440Hospital outpatient total2026 Medicare, physician + facility

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 (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Maine averages $288, from $280 in Rest of Maine to $297 in Southern Maine.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 04008.
Complete Cost Report + Letters
Adds the letters that get a price in writing before you book.
$6.99
  • ✓Everything in the Premium report
  • ✓15 nearby hospitals instead of five
  • ✓Filled good-faith-estimate request letter
  • ✓Bill-negotiation letter
  • ✓Printable PDF download
🔒 Secure checkout⚡ Instant link✓ One-off, no account✓ No records, no insurance card

Maine Medicare physician rate (2026)

-4.0% vs national

Average of 2 localities. Office range $279.69–$296.54.

Maine (Hospital)
$81.53
Physician reading only
Private plan est.
$375–$576
~130–200% of Medicare
Cash / self-pay est.
$230–$432
~80–150% of Medicare

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.

Physician reading alone
$84
Only 19% of the hospital total

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.

Your ZIP in Maine

Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.

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

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

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 04008.

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 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. In Maine the office and hospital physician lines for this CPT differ by $206.59.

National vs Maine

National office$300.27
National hospital (physician)$83.84
Maine vs national4% below the national office rate of $300.27

Where Maine ranks for this CPT

Rank (lowest physician fee first)#22 of 51
Lowest stateArkansas ($264.78)
Highest stateDistrict of Columbia ($346.11)

CPT 74177 by Maine locality

LocalityOffice
southern maine$296.54
rest of maine$279.69

PE GPCI ranges from 0.920 to 0.991 in Maine. That index is why the same CPT is not one price statewide.

CT Abdomen & Pelvis With Contrast and how Maine is priced

Maine is priced as a single statewide locality with indices close to, and in parts below, the national average, so Portland and the far northern county towns share one fee schedule. CMS has never needed to subdivide a state where even the largest metro is modest by national standards. The uniform pricing belies enormous differences in access between the populous southern coast and the vast interior. For Mainers, the published statewide rates are what Medicare approves everywhere from Kittery to Fort Kent.

Maine is among the most rural states in the country and has the oldest median age, a combination that concentrates specialty care in Portland and, to a lesser degree, Bangor and Lewiston. Residents of western and northern Maine can face hours of driving for procedures, and some in the far south use Boston hospitals for complex care. Consolidation has left a small number of systems covering most of the state.

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 Maine: 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 (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Maine averages $288, from $280 in Rest of Maine to $297 in Southern Maine. Enter a ZIP for the exact Maine locality.

Yes. CMS splits Maine into 2 payment localities. For this CPT the office physician fee spans $16.85 from the lowest to highest locality. Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $58 for the office physician line or $16 for the hospital physician line in Maine. Medigap may cover that 20%. This is not the hospital facility fee.

It depends on where the test is done. At an independent imaging center, lab or office, $288.12 is Medicare's full rate in Maine, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $81.53) and the hospital is paid separately, which brings the national total to up to about $440. Maine ranks #22 of 51 states on the non-hospital rate (4% below 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.