CT Abdomen & Pelvis With Contrast Cost in Missouri
Ct abd & pelvis w/contrast
Missouri Medicare physician rate (2026)
-6.5% vs nationalAverage of 3 localities. Office range $267.48–$288.92.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 74177 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $288.92 |
| metropolitan kansas city | $285.73 |
| rest of missouri | $267.48 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
CT Abdomen & Pelvis With Contrast and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across 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?
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CT Abdomen & Pelvis With Contrast in other states
CT Abdomen & Pelvis With Contrast in Missouri: questions
How much does ct abdomen & pelvis with contrast cost in Missouri?
The 2026 Medicare physician office rate for CPT 74177 averages $280.71 across 3 Missouri localities, from $267.48 in REST OF MISSOURI to $288.92 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $280.71. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $21.44 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $56 for the office physician line or $56 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full ct abdomen & pelvis with contrast bill in Missouri?
No. $280.71 is the Medicare physician allowed amount for CPT 74177. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #14 of 51 states on this physician line (7% below the national office rate of $300.27).