CPT74177

CT Abdomen & Pelvis With Contrast Cost in Massachusetts

Ct abd & pelvis w/contrast

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

Massachusetts Medicare physician rate (2026)

+10.1% vs national

Average of 2 localities. Office range $312.89–$348.16.

Massachusetts (Hospital)
$330.53
Facility physician fee
Private plan est.
$430–$661
~130–200% of Medicare
Cash / self-pay est.
$264–$496
~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 Massachusetts

Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

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

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

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 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 Massachusetts

National office$300.27
National hospital (physician)$300.27
Massachusetts vs national10% above the national office rate of $300.27

Where Massachusetts ranks for this CPT

Rank (lowest physician fee first)#45 of 51
Lowest stateArkansas ($264.78)
Highest stateDistrict of Columbia ($346.11)

CPT 74177 by Massachusetts locality

LocalityOffice
metropolitan boston$348.16
rest of massachusetts$312.89

PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.

CT Abdomen & Pelvis With Contrast and how Massachusetts is priced

Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.

Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.

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 Massachusetts: questions

The 2026 Medicare physician office rate for CPT 74177 averages $330.53 across 2 Massachusetts localities, from $312.89 in REST OF MASSACHUSETTS to $348.16 in METROPOLITAN BOSTON. The hospital physician rate averages $330.53. Enter a ZIP for the exact locality.

Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $35.27 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $66 for the office physician line or $66 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.

No. $330.53 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. Massachusetts ranks #45 of 51 states on the physician line (10% above 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.