CPT74177

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

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 Tennessee averages $277.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 37010.
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Tennessee Medicare physician rate (2026)

-7.8% vs national

Single statewide locality.

Tennessee (Hospital)
$80.22
Physician reading only
Private plan est.
$360–$553
~130–200% of Medicare
Cash / self-pay est.
$221–$415
~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 Tennessee

Enter a ZIP code for your part of Tennessee, whether Nashville, Memphis, Knoxville, Chattanooga, the Tri-Cities, or the rural plateau and delta counties.

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

Everything above is a national average. The hospital you pick in Tennessee 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 37010.

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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 Tennessee the office and hospital physician lines for this CPT differ by $196.49.

National vs Tennessee

National office$300.27
National hospital (physician)$83.84
Tennessee vs national8% below the national office rate of $300.27

Where Tennessee ranks for this CPT

Rank (lowest physician fee first)#8 of 51
Lowest stateArkansas ($264.78)
Highest stateDistrict of Columbia ($346.11)

CT Abdomen & Pelvis With Contrast and how Tennessee is priced

Tennessee's Medicare rates come from one statewide locality with below-average geographic indices, so Memphis, Nashville, Knoxville, and Chattanooga all publish the same approved amounts despite being four distinct metro markets. The uniform locality stretches across a state that spans two time zones and several regional economies. Nashville's boom has raised local practice costs faster than the statewide averages that feed the indices. For patients, the fee schedule is identical statewide; the markets around it are anything but.

Nashville is the corporate capital of American hospital operations, home to major for-profit chains, alongside a prominent academic medical center, while Memphis anchors care for the Mid-South including parts of Mississippi and Arkansas. Knoxville and Chattanooga serve East Tennessee, and the rural Cumberland Plateau and West Tennessee counties have seen multiple hospital closures. Cross-border patient flows into Tennessee's metros are heavy from every neighboring 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 Tennessee: 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 Tennessee averages $277. Tennessee is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. Tennessee 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 $55 for the office physician line or $16 for the hospital physician line in Tennessee. 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, $276.71 is Medicare's full rate in Tennessee, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $80.22) and the hospital is paid separately, which brings the national total to up to about $440. Tennessee ranks #8 of 51 states on the non-hospital rate (8% 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.