CPT 74178 Radiology
CT abdomen and pelvis with contrast Cost
Body System: Digestive
Medicare Facility Rate
$114
CMS PFS CY2026
Medicare Non-Facility Rate
$350
Office/clinic setting
Hospital Outpatient
$356
OPPS rate
Surgery Center (ASC)
$193
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.74
Work RVU
1.65
Facility PE RVU
0.13
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA* | $148 | $222 — $371 |
| AL — ALABAMA | $109 | $163 — $272 |
| AR — ARKANSAS | $108 | $162 — $269 |
| AZ — ARIZONA | $115 | $173 — $288 |
| AZ — Phoenix | $117 | $175 — $292 |
| CA — BAKERSFIELD | $122 | $183 — $306 |
| CA — CHICO | $122 | $183 — $305 |
| CA — EL CENTRO | $122 | $183 — $305 |
| CA — FRESNO | $122 | $183 — $305 |
| CA — HANFORD-CORCORAN | $122 | $183 — $305 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $129 | $193 — $321 |
| CA — Los Angeles | $130 | $195 — $325 |
| CA — MADERA | $122 | $183 — $305 |
| CA — MERCED | $122 | $183 — $305 |
| CA — MODESTO | $122 | $183 — $305 |
| CA — NAPA | $137 | $205 — $342 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $128 | $191 — $319 |
| CA — REDDING | $122 | $183 — $305 |
| CA — REST OF CALIFORNIA | $122 | $183 — $305 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $123 | $185 — $308 |
Frequently Asked Questions
How much does CT abdomen and pelvis with contrast cost?
The Medicare facility rate is $114. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $356. Ambulatory surgery center rate: $193.
How much does CT abdomen and pelvis with 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 $114.