How Much Does CT Scan of the Abdomen and Pelvis with Contrast Cost?
Also known as: Ct abd & pelvis w/contrast (CPT 74177)
A scan of the belly and pelvic area using X-ray technology with contrast dye to evaluate organs and detect problems.
CT Scan of the Abdomen and Pelvis with Contrast (CPT 74177) costs $300 at Medicare rates. Hospital outpatient rate: $356.
Cost Comparison by Payer
How much Ct abd & pelvis w/contrast costs across different settings and payers
Patient Guide: CT Scan of the Abdomen and Pelvis with Contrast
What you need to know before your appointment
What to Expect
You may need to drink oral contrast liquid 1-2 hours before. An IV contrast will also be injected. You lie still while the scanner takes images.
How Long Does It Take?
15-30 minutes
Common Reasons Doctors Order This
Abdominal pain, suspected appendicitis, kidney stones, cancer screening, trauma evaluation
How to Prepare
Fast for 4 hours before. Drink oral contrast if provided. Tell staff about dye allergies or kidney issues.
Procedures Commonly Done Together
These procedures are frequently performed alongside Ct abd & pelvis w/contrast
How to Reduce Your Cost for Ct abd & pelvis w/contrast
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
- 4 Check ambulatory surgery centers (ASCs)
This procedure is available at ASCs for $193, compared to $356 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (8.99) x CF ($33.40) = $300
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Ct abd & pelvis w/contrast cost?
The Medicare facility rate for Ct abd & pelvis w/contrast is $300. In a hospital outpatient setting, the rate is $356. At an ambulatory surgery center, the rate is $193. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Ct abd & pelvis w/contrast cost without insurance?
Without insurance, the cost of Ct abd & pelvis w/contrast can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Ct abd & pelvis w/contrast?
Most commercial health insurance plans and Medicare cover Ct abd & pelvis w/contrast when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.