CPT74177

CT Abdomen & Pelvis With Contrast Cost in Texas

Ct abd & pelvis w/contrast

$657Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Texas Medicare physician rate (2026)

-1.2% vs national

Average of 8 localities. Office range $278.65–$313.63.

Texas (Hospital)
$296.62
Facility physician fee
Private plan est.
$386–$593
~130–200% of Medicare
Cash / self-pay est.
$237–$445
~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 Texas

With so many Texas localities, check your exact ZIP: Houston, Dallas-Fort Worth, Austin, the Galveston and Beaumont coast, San Antonio, El Paso, the Valley, and rural West Texas can all price differently.

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

Everything above is a national average. The hospital you pick in Texas moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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 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 Texas

National office$300.27
National hospital (physician)$300.27
Texas vs nationalwithin 2% of the national office rate of $300.27

Where Texas ranks for this CPT

Rank (lowest physician fee first)#29 of 51
Lowest stateArkansas ($264.78)
Highest stateDistrict of Columbia ($346.11)

CPT 74177 by Texas locality

LocalityOffice
austin$313.63
houston$300.72
dallas$299.24
galveston$298.34
brazoria$297.66
fort worth$296.93
rest of texas$287.78
beaumont$278.65

PE GPCI ranges from 0.910 to 1.058 in Texas. That index is why the same CPT is not one price statewide.

CT Abdomen & Pelvis With Contrast and how Texas is priced

Texas is carved into grouped metro localities rather than priced statewide: Houston, Dallas, Fort Worth, Austin, Galveston, Beaumont, and Brazoria each carry their own locality, and the enormous remainder of the state shares rest-of-state pricing. The big-city localities approve higher amounts than rural Texas, with Houston and Dallas at the top of the state's range. Uniquely, several smaller Gulf Coast areas kept their own localities from an earlier era, which is why Galveston and Beaumont are priced separately from Houston. San Antonio and El Paso, despite their size, fall under rest-of-state factors.

Texas contains several of the largest medical complexes in the world, most famously in Houston, plus deep hospital markets in Dallas-Fort Worth, San Antonio, and Austin. At the other extreme, West Texas and the Panhandle include counties with no physician at all, and rural hospital closures have hit Texas harder than almost any state. Border communities from El Paso to the Rio Grande Valley have distinct markets, and some residents cross into Mexico for lower-cost dental and pharmacy care.

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 Texas: questions

The 2026 Medicare physician office rate for CPT 74177 averages $296.62 across 8 Texas localities, from $278.65 in BEAUMONT to $313.63 in AUSTIN. The hospital physician rate averages $296.62. Enter a ZIP for the exact locality.

Yes. CMS splits Texas into 8 payment localities. For this CPT the office physician fee spans $34.98 from the lowest to highest locality. With so many Texas localities, check your exact ZIP: Houston, Dallas-Fort Worth, Austin, the Galveston and Beaumont coast, San Antonio, El Paso, the Valley, and rural West Texas can all price differently.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $59 for the office physician line or $59 for the hospital physician line in Texas. Medigap may cover that 20%. This is not the hospital facility fee.

No. $296.62 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. Texas ranks #29 of 51 states on the physician line (within 2% of 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.