CPT74176

How Much Does a CT Abdomen & Pelvis Without Contrast Cost in North Carolina?

Ct abd & pelvis w/o contrast

$324Hospital outpatient total2026 Medicare, physician + facility

Under 2026 Medicare rates, a CT abdomen & pelvis without contrast costs up to about $324 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 North Carolina averages $174.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 27006.
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North Carolina Medicare physician rate (2026)

-5.2% vs national

Single statewide locality.

North Carolina (Hospital)
$77.40
Physician reading only
Private plan est.
$226–$347
~130–200% of Medicare
Cash / self-pay est.
$139–$260
~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
$80
Only 25% 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 North Carolina

Check your ZIP code for your region of North Carolina, whether Charlotte, Raleigh-Durham and the Triangle, the Triad, Asheville and the mountains, or Wilmington and the coastal east.

What CT abdomen & pelvis without contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in North Carolina 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 27006.

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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 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 North Carolina the office and hospital physician lines for this CPT differ by $96.10.

National vs North Carolina

National office$183.04
National hospital (physician)$79.83
North Carolina vs national5% below the national office rate of $183.04

Where North Carolina ranks for this CPT

Rank (lowest physician fee first)#17 of 51
Lowest stateArkansas ($163.97)
Highest stateAlaska ($217.75)

CT Abdomen & Pelvis Without Contrast and how North Carolina is priced

North Carolina's Medicare physician pricing comes from one statewide locality with indices just under the national average, so Charlotte, the Research Triangle, and the rural east and mountain west all share the same approved amounts. For a state with several fast-growing metros, the single-locality approach keeps the fee schedule simple even as local economies diverge. Nothing in the geographic adjustments distinguishes a Raleigh procedure from one in Boone or Greenville. As elsewhere, the office-versus-hospital setting decision moves prices more than geography within the state does.

North Carolina is unusually rich in academic medicine, with multiple nationally known university medical centers clustered in the Triangle and Winston-Salem, plus a major hospital system anchored in Charlotte that has grown across the Southeast. The rural east and the mountain counties are much thinner markets, and hospital consolidation has been reshaping who owns local care. Patients near the borders sometimes use Virginia or South Carolina providers.

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?

CT Abdomen & Pelvis Without Contrast in North Carolina: questions

Under 2026 Medicare rates, a CT abdomen & pelvis without contrast costs up to about $324 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 North Carolina averages $174. North Carolina is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. North Carolina uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $35 for the office physician line or $15 for the hospital physician line in North Carolina. 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, $173.50 is Medicare's full rate in North Carolina, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $77.40) and the hospital is paid separately, which brings the national total to up to about $324. North Carolina ranks #17 of 51 states on the non-hospital rate (5% below the national office rate of $183.04).

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.