CT Abdomen & Pelvis Without Contrast Cost in Missouri
Ct abd & pelvis w/o contrast
Missouri Medicare physician rate (2026)
-5.5% vs nationalAverage of 3 localities. Office range $166.03–$177.16.
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 74176 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $177.16 |
| metropolitan kansas city | $175.47 |
| rest of missouri | $166.03 |
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 Without 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: 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?
Other featured procedures in Missouri
CT Abdomen & Pelvis Without Contrast in other states
CT Abdomen & Pelvis Without Contrast in Missouri: questions
How much does ct abdomen & pelvis without contrast cost in Missouri?
The 2026 Medicare physician office rate for CPT 74176 averages $172.89 across 3 Missouri localities, from $166.03 in REST OF MISSOURI to $177.16 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $172.89. 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 $11.13 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 $35 for the office physician line or $35 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 without contrast bill in Missouri?
No. $172.89 is the Medicare physician allowed amount for CPT 74176. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #15 of 51 states on this physician line (6% below the national office rate of $183.04).