CT Scan of Abdomen and Pelvis Before and After Contrast Cost
How much does this cost without insurance? Compare published self-pay cash prices and insurance-negotiated rates for CPT 74178 across 3,310 US facilities. Dataset: Q4 2026.
A Ct scan of abdomen and pelvis before and after contrast (CPT 74178, Imaging) can cost very different amounts depending on which hospital you choose and how you pay. Across the 3,310 U.S. facilities that publish a cash self-pay price for this procedure, rates run from $150 at the low end to $51,420 at the most expensive — a national median of roughly $2,955. For comparison, Medicare reimburses about $350 for the same code. The breakdown below shows typical charges state by state, so you can gauge what to expect near you, weigh cash rates against insurance-negotiated prices, and flag any facility charging far above the norm before you schedule.
State-by-state pricing
Click any state for facility-by-facility prices.
| State | Hospitals | Avg cash | Low | High |
|---|---|---|---|---|
| Texas | 394 | $7,395 | $172 | $42,904 |
| California | 227 | $5,603 | $183 | $40,054 |
| Florida | 159 | $13,554 | $307 | $51,420 |
| New York | 124 | $2,314 | $160 | $11,616 |
| Illinois | 123 | $4,194 | $173 | $10,519 |
| Ohio | 118 | $2,763 | $168 | $8,757 |
| Minnesota | 100 | $2,545 | $173 | $5,597 |
| North Carolina | 100 | $4,066 | $1,500 | $9,845 |
| Georgia | 89 | $4,299 | $213 | $18,507 |
| Louisiana | 89 | $2,762 | $150 | $29,491 |
| Missouri | 87 | $3,993 | $153 | $30,180 |
| Wisconsin | 87 | $3,283 | $202 | $7,858 |
| Colorado | 82 | $7,006 | $262 | $24,141 |
| Kentucky | 77 | $3,473 | $188 | $19,989 |
| Michigan | 75 | $2,408 | $165 | $6,831 |
| Oklahoma | 75 | $3,014 | $460 | $10,674 |
| Tennessee | 74 | $4,695 | $246 | $32,174 |
| Washington | 69 | $3,060 | $171 | $6,512 |
| Indiana | 66 | $2,261 | $188 | $8,745 |
| Nebraska | 65 | $4,915 | $211 | $9,408 |
| Iowa | 64 | $3,030 | $178 | $9,207 |
| Kansas | 63 | $4,146 | $199 | $32,740 |
| Pennsylvania | 62 | $1,991 | $220 | $9,573 |
| Virginia | 61 | $5,475 | $256 | $21,334 |
| Arkansas | 58 | $2,239 | $217 | $18,875 |
| New Jersey | 54 | $1,923 | $390 | $12,500 |
| Utah | 53 | $4,821 | $1,710 | $12,795 |
| Mississippi | 47 | $1,817 | $176 | $5,672 |
| South Dakota | 45 | $5,762 | $164 | $9,481 |
| Oregon | 43 | $2,450 | $155 | $6,229 |
| Massachusetts | 42 | $3,360 | $235 | $11,358 |
| Alabama | 41 | $5,179 | $294 | $26,474 |
| South Carolina | 39 | $5,327 | $957 | $16,614 |
| North Dakota | 35 | $2,534 | $232 | $4,232 |
| Arizona | 34 | $6,232 | $156 | $18,928 |
| Montana | 30 | $2,556 | $316 | $4,718 |
| Nevada | 29 | $7,551 | $325 | $26,519 |
| Idaho | 26 | $2,956 | $240 | $8,853 |
| West Virginia | 26 | $2,510 | $168 | $6,038 |
| Maine | 24 | $2,276 | $159 | $6,057 |
| Puerto Rico | 23 | $429 | $162 | $955 |
| New Mexico | 21 | $3,339 | $230 | $7,477 |
| New Hampshire | 19 | $5,386 | $270 | $14,436 |
| Connecticut | 16 | $2,208 | $685 | $5,969 |
| Hawaii | 13 | $2,288 | $391 | $3,708 |
| Maryland | 13 | $366 | $206 | $601 |
| Wyoming | 11 | $3,288 | $511 | $6,531 |
| Vermont | 9 | $2,254 | $290 | $5,848 |
| Alaska | 8 | $5,477 | $463 | $12,741 |
| Delaware | 8 | $4,545 | $1,693 | $9,205 |
| Rhode Island | 7 | $1,139 | $390 | $1,650 |
| Washington D.C. | 6 | $971 | $150 | $3,911 |