CPT 74177 Radiology
Ct abd & pelvis w/contrast Cost
Body System: Digestive
Medicare Facility Rate
$300
CMS PFS CY2026
Medicare Non-Facility Rate
$300
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.77
Work RVU
7.09
Facility PE RVU
0.13
Malpractice RVU
8.99
Total RVU
Frequently Asked Questions
How much does Ct abd & pelvis w/contrast cost?
The Medicare facility rate is $300. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Ct abd & pelvis w/contrast cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $300.