CPT 74176 Radiology

How Much Does CT Scan of the Abdomen and Pelvis without Contrast Cost?

Also known as: Ct abd & pelvis without contrast (CPT 74176)

A scan of the belly and pelvic area without injected dye, often used to look for kidney stones or acute problems.

CT Scan of the Abdomen and Pelvis without Contrast (CPT 74176) costs $183 at Medicare rates. Hospital outpatient rate: $244.

Cost Comparison by Payer

How much Ct abd & pelvis without contrast costs across different settings and payers

Medicare
Facility rate
$183
Hospital Outpatient
OPPS rate
$244
Surgery Center
ASC rate
$103
Medicare (Facility)
$183
CMS PFS 2026 national rate
Hospital Outpatient
$244
OPPS rate
Surgery Center (ASC)
$103
Ambulatory surgery center

Patient Guide: CT Scan of the Abdomen and Pelvis without Contrast

What you need to know before your appointment

What to Expect

You lie on a table that passes through a ring-shaped scanner. The scan is quick and painless.

How Long Does It Take?

5-15 minutes

Common Reasons Doctors Order This

Kidney stones, abdominal pain, urinary problems, basic abdominal assessment

How to Prepare

You may need to drink water before the scan. Remove metal from the area. Inform staff if pregnant.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ct abd & pelvis without contrast

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How to Reduce Your Cost for Ct abd & pelvis without 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 $103, compared to $244 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.

1.70
Work RVU
3.67
Practice Expense RVU
0.11
Malpractice RVU
5.48
Total RVU

Payment = Total RVU (5.48) x CF ($33.40) = $183

Frequently Asked Questions

How much does Ct abd & pelvis without contrast cost?

The Medicare facility rate for Ct abd & pelvis without contrast is $183. In a hospital outpatient setting, the rate is $244. At an ambulatory surgery center, the rate is $103. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ct abd & pelvis without contrast cost without insurance?

Without insurance, the cost of Ct abd & pelvis without 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 without contrast?

Most commercial health insurance plans and Medicare cover Ct abd & pelvis without 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.

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