CT Scan of Abdomen and Pelvis Before and After Contrast Cost in Alabama
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 46 Alabama hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Alabama
Sorted by cash price (lowest first). Showing top 46 of 46 hospitals.
| Hospital | Cash | UHC | Aetna | Humana | BCBS | Centene | Cigna | Devoted | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| RED BAY HOSPITAL RED BAY |
$22.11 | $7.03 | $5.75 | $5.53 | $22.11 | $22.11 | $5.53 | $22.33 | $22.11 |
| HELEN KELLER HOSPITAL SHEFFIELD |
$24.00 | $1.37 | $1.37 | $1.34 | $1.34 | $1.48 | $1.35 | $1.38 | $1.34 |
| WASHINGTON COUNTY HOSPITAL CHATOM |
$54.17 | $825 | $482 | $1,303 | $1,009 | — | — | — | — |
| ELMORE COMMUNITY HOSPITAL WETUMPKA |
$105 | $100 | — | $100 | $750 | — | — | — | — |
| NORTH MISSISSIPPI MEDICAL CENTER HAMILTON HAMILTON |
$109 | — | $313 | — | — | — | $585 | — | — |
| USA HEALTH UNIVERSITY HOSPITAL MOBILE |
$294 | $285 | $338 | $338 | $331 | $338 | $338 | $338 | — |
| USA HEALTH CHILDREN'S AND WOMEN'S HOSPITAL MOBILE |
$294 | $285 | $338 | $338 | $331 | $338 | $450 | $338 | — |
| RIVERVIEW REGIONAL MEDICAL CENTER GADSDEN |
$311 | $311 | — | $296 | $311 | — | $311 | $318 | $311 |
| LAKELAND COMMUNITY HOSPITAL HALEYVILLE |
$312 | — | — | — | — | — | — | — | — |
| MIZELL MEMORIAL HOSPITAL OPP |
$407 | $86.43 | $86.43 | $295 | $86.43 | — | — | — | $314 |
| EAST ALABAMA MEDICAL CENTER OPELIKA |
$421 | — | $87.11 | $87.11 | $87.11 | — | $87.11 | — | — |
| LAKE MARTIN COMMUNITY HOSPITAL DADEVILLE |
$636 | — | — | — | — | — | — | — | — |
| JACKSON HOSPITAL MONTGOMERY |
$663 | $576 | $30.00 | $380 | — | $380 | $527 | — | $380 |
| SOUTHEAST HEALTH MEDICAL CENTER DOTHAN |
$873 | $334 | $82.00 | $334 | $334 | $334 | $65.00 | — | — |
| MONROE COUNTY HOSPITAL MONROEVILLE |
$1,064 | $316 | — | $316 | $316 | — | $255 | — | $296 |
| CHILDREN'S OF ALABAMA CHILDREN'S SOUTH HOSPITAL BIRMINGHAM |
$1,108 | — | — | — | — | — | — | — | — |
| CHILDREN'S OF ALABAMA BENJAMIN RUSSELL HOSPITAL BIRMINGHAM |
$1,108 | — | — | — | — | — | — | — | — |
| TANNER MEDICAL CENTER - EAST ALABAMA WEDOWEE |
$1,344 | $390 | $33.00 | — | $33.00 | — | $33.00 | — | — |
| COOSA VALLEY MEDICAL CENTER SYLACAUGA |
$1,569 | $356 | $356 | $6,538 | $6,538 | — | — | $367 | — |
| GROVE HILL MEMORIAL HOSPITAL GROVE HILL |
$1,681 | $322 | $322 | $300 | — | — | $2,102 | — | — |
| EVERGREEN MEDICAL CENTER EVERGREEN |
$1,687 | — | — | $314 | — | — | — | — | $314 |
| RUSSELLVILLE HOSPITAL RUSSELLVILLE |
$1,955 | — | — | — | — | — | — | — | — |
| OCHSNER CHOCTAW GENERAL BUTLER |
$2,019 | — | — | — | — | — | — | — | — |
| CRENSHAW COMMUNITY HOSPITAL LUVERNE |
$2,030 | — | — | $995 | — | — | — | — | $995 |
| JACKSON MEDICAL CENTER JACKSON |
$2,286 | — | — | — | — | — | — | — | — |
| MARSHALL MEDICAL CENTER NORTH GUNTERSVILLE |
$2,288 | $308 | $307 | — | $301 | $601 | $157 | $310 | — |
| MARSHALL MEDICAL CENTER SOUTH BOAZ |
$2,288 | $308 | $307 | — | $301 | $601 | $157 | $310 | — |
| CULLMAN REGIONAL MEDICAL CENTER CULLMAN |
$2,588 | — | — | — | — | — | — | — | — |
| BIBB MEDICAL CENTER CENTREVILLE |
$2,905 | — | — | — | — | — | — | — | — |
| SPRINGHILL MEDICAL CENTER MOBILE |
$3,068 | $100 | $100 | — | $97.00 | $100 | — | $100 | — |
| NORTH ALABAMA SHOALS HOSPITAL W AVALAON AVE MUSCLE SHOALS |
$3,466 | $316 | $332 | $344 | $213 | $426 | — | — | — |
| NORTH ALABAMA MEDICAL CENTER VETRANS DRIVE FLORENCE |
$3,466 | $316 | $332 | $344 | $213 | $426 | — | — | — |
| DECATUR MORGAN HOSPITAL WEST DECATUR |
$3,629 | $326 | $324 | $318 | $318 | $350 | $157 | $328 | — |
| DECATUR MORGAN HOSPITAL BELTLINE RD SW DECATUR |
$3,629 | $326 | $324 | $318 | $318 | $350 | $157 | $328 | — |
| CLAY COUNTY HOSPITAL ASHLAND |
$3,678 | — | — | — | — | — | — | — | — |
| ATHENS LIMESTONE HOSPITAL ATHENS |
$4,015 | $324 | $322 | — | $316 | $348 | $157 | $326 | — |
| ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER CENTRE |
$4,411 | $352 | $352 | $352 | $342 | $359 | $317 | — | — |
| HUNTSVILLE HOSPITAL MADISON |
$5,054 | $127 | $127 | $127 | $64.69 | $127 | $127 | $127 | $127 |
| HUNTSVILLE HOSPITAL FOR WOMEN & CHILDREN HUNTSVILLE |
$5,054 | $127 | $127 | $127 | $64.69 | $127 | $127 | $127 | $127 |
| D. W. MCMILLAN MEMORIAL HOSPITAL BREWTON |
$5,730 | $308 | $308 | $308 | $308 | — | — | — | — |
| ATMORE COMMUNITY HOSPITAL ATMORE |
$5,730 | $308 | $308 | $308 | $308 | — | — | — | — |
| BAPTIST HEALTH BROOKWOOD HOSPITAL BIRMINGHAM |
$23,374 | $331 | $319 | $316 | — | $574 | — | — | — |
| BAPTIST HEALTH SHELBY HOSPITAL NORTH |
$26,474 | $331 | $319 | $316 | — | $574 | — | — | — |
| BAPTIST HEALTH CITIZENS HOSPITAL TALLADEGA |
$26,474 | $331 | $313 | $310 | — | $563 | — | — | — |
| BAPTIST HEALTH PRINCETON HOSPITAL BIRMINGHAM |
$26,474 | $331 | $319 | $316 | — | $574 | — | — | — |
| BAPTIST HEALTH WALKER HOSPITAL JASPER |
$26,474 | $331 | $308 | $305 | — | $555 | — | — | — |
That is the median of what the 46 Alabama hospitals above publish for Ct scan of abdomen and pelvis before and after contrast — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 74178 in Alabama, Medicare reimburses about $302 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Alabama range from $22.11 to $26,474 — that means hospital cash prices are typically 7.6x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does ct scan of abdomen and pelvis before and after contrast cost in Alabama?
- Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in Alabama range from $22.11 to $26,474, with a median of $2,288. Prices vary widely by hospital.
- Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in Alabama?
- The cheapest Alabama hospital published cash price for this procedure is $22.11. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.