CT Scan of Abdomen and Pelvis Before and After Contrast Cost in Kentucky

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 78 Kentucky hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $2,633 📉 Low $145 📈 High $19,989 🏥 78 hospitals 🏛️ 68 with insurance contracts 🇺🇸 Medicare $308

Hospital comparison — Kentucky

Sorted by cash price (lowest first). Showing top 60 of 78 hospitals.

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HospitalCashHumanaUHCAetnaCenteneCignaMolinaMultiPlanMedicare
CUMBERLAND COUNTY HOSPITAL
BURKESVILLE
$145 ————————
DEACONESS HENDERSON HOSPITAL
HENDERSON
$188 $85.86$85.75$85.75$63.87$323$85.86$196$85.86
DEACONESS UNION COUNTY HOSPITAL
MORGANFIELD
$188 $85.75$85.75$85.75$63.87$196$85.75$196—
WHITESBURG ARH HOSPITAL
HOSPITAL ROAD WHITESBURG
$262 $190$90.37$90.37$90.37—$1,437——
HAZARD ARH REGIONAL MEDICAL CENTER
MEDICAL CENTER DRIVE HAZARD
$262 $290$90.37$90.37$90.37—$2,005——
BAPTIST HEALTH DEACONESS MADISONVILLE
HOSPITAL DRIVE MADISONVILLE
$376 $85.75$85.86$85.75$85.75—$85.75$3,362—
OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL
GREENVILLE
$804 ————————
OWENSBORO HEALTH REGIONAL HOSPITAL
OWENSBORO
$804 ————————
SAINT JOSEPH BEREA
BEREA
$973 $565$577$582$557$1,393$594$1,837—
WAYNE COUNTY HOSPITAL
HOSPITAL STREET MONTICELLO
$1,241 ————————
UOFL HEALTH - SHELBYVILLE HOSPITAL
SHELBYVILLE
$1,248 $320——$471$335———
UOFL HEALTH - UOFL HOSPITAL
LOUISVILLE
$1,294 $320——$388$335———
SOUTHERN KENTUCKY REHABILITATION HOSPITAL
BOWLING GREEN
$1,363 —$1,363———$1,363——
ST. ELIZABETH FLORENCE
FLORENCE
$1,434 —$353$1,413$374————
ST. ELIZABETH EDGEWOOD
EDGEWOOD
$1,434 —$353$1,413$374————
ST. ELIZABETH FT. THOMAS
FT. THOMAS
$1,434 —$353$1,413$374————
ST. ELIZABETH COVINGTON
COVINGTON
$1,434 —$353$1,413$374————
ST. ELIZABETH GRANT HOSPITAL
WILLIAMSTOWN
$1,434 —$353$1,413$374————
NORTON WEST LOUISVILLE HOSPITAL
LOUISVILLE
$1,465 $3,297$335$335$335$1,044—$5,715—
NORTON BROWNSBORO HOSPITAL
LOUISVILLE
$1,465 $3,297$335$335$335$1,044—$5,715—
NORTON HEALTHCARE PAVILION
LOUISVILLE
$1,465 $3,297$335$335$335$1,044—$5,715—
NORTON CHILDREN'S HOSPITAL
LOUISVILLE
$1,465 $1,758$335$335$335$1,044—$6,228—
NORTON WOMEN'S AND CHILDREN'S HOSPITAL
LOUISVILLE
$1,465 $3,297$335$335$335$1,044—$5,715—
NORTON AUDUBON HOSPITAL
LOUISVILLE
$1,465 $3,297$335$335$335$1,044—$5,715—
OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER
LEITCHFIELD
$1,533 ————————
CHI SAINT JOSEPH HEALTH WOMEN'S HOSPITAL AT SAINT JOSEPH EAST
LEXINGTON
$1,607 $351$365$361$351$2,560$368$3,640—
UOFL HEALTH - MEDICAL CENTER EAST
LOUISVILLE
$1,692 $320——$471$335———
UOFL HEALTH - MEDICAL CENTER SOUTHWEST
LOUISVILLE
$1,692 $320——$471$335———
UOFL HEALTH - MEDICAL CENTER NORTHEAST
LOUISVILLE
$1,692 $320——$471$335———
UOFL HEALTH - MEDICAL CENTER SOUTH
SHEPHERDSVILLE
$1,692 $320——$471$335———
CHI HEALTH SAINT JOSEPH HOSPITAL
LEXINGTON
$1,884 $351$365$361$351$2,520$368$3,640—
CARROLL COUNTY MEMORIAL HOSPITAL
CARROLLTON
$1,937 $795$1,033—$918———$302
UOFL HEALTH - MARY & ELIZABETH HOSPITAL
LOUISVILLE
$1,940 $320——$471$335———
SAINT JOSEPH MOUNT STERLING
MT. STERLING
$1,965 $336$343$346$336—$353$4,879—
UOFL HEALTH - JEWISH HOSPITAL
LOUISVILLE
$1,991 $320——$471$335———
MARSHALL COUNTY HOSPITAL
BENTON
$2,152 $1,329$1,356—————$1,329
JENNIE STUART MEDICAL CENTER
HOPKINSVILLE
$2,268 $88.39$88.39$92.81$88.39$88.39—$6,219—
CHI HEALTH SAINT JOSEPH JESSAMINE
NICHOLASVILLE
$2,276 $351$365$361$351$3,480$368$4,113—
CHI SAINT JOSEPH HEALTH FLAGET MEMORIAL HOSPITAL
BARDSTOWN
$2,333 $342$349$352$342$4,014$359$5,003—
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES
SALEM
$2,633 ————————
CRITTENDEN COMMUNITY HOSPITAL
MARION
$2,645 —$758$3,877$695$3,877——$323
KINGS DAUGHTERS MEDICAL CENTER
ASHLAND
$2,733 —$4,243$5,050——$363$6,150—
PIKEVILLE MEDICAL CENTER
PIKEVILLE
$2,964 ——$327$458————
CHI SAINT JOSEPH HOSPITAL LONDON
LONDON
$3,038 $324$330$333$324—$340$7,747—
FLEMING COUNTY HOSPITAL
FOUNDATION DRIVE FLEMINGSBURG
$3,547 $20.00$19.38$22.60———$80.00$20.00
MERCY HEALTH - MARCUM AND WALLACE HOSPITAL
IRVINE
$3,548 ————————
MEADOWVIEW REGIONAL MEDICAL CENTER
MAYSVILLE
$3,847 $103$43.30$37.00————$100
CENTERPOINT HEALTH - VERSAILLES
AMSDEN AVENUE VERSAILLES
$3,914 $30.30$30.60$30.90$30.00——$88.00$30.00
CALDWELL MEDICAL CENTER
PRINCETON
$4,406 $325$850$1,900$2,908$4,994$2,115—$302
MERCY HEALTH - LOURDES HOSPITAL
PADUCAH
$4,457 ————————
CENTERPOINT HEALTH - PARIS
LINVILLE DRIVE PARIS
$4,493 $29.19$102$34.80$100$92.00—$92.00$100
CENTERPOINT HEALTH - WINCHESTER
WINCHESTER
$4,781 $100$375$70.70$100$100—$70.00$100
SPRING VIEW HOSPITAL
LORETTO RD LEBANON
$4,930 $100$102$57.50————$100
MIDDLESBORO ARH HOSPITAL
W CUMBERLAND AVENUE MIDDLESBORO
$4,989 $245$245$245$245—$1,527——
MORGAN COUNTY ARH HOSPITAL
LIBERTY ROAD WEST LIBERTY
$5,020 $1,757$2,175$1,757$1,774—$1,792——
THE MEDICAL CENTER AT ALBANY
ALBANY
$5,030 $1,509$335$670—$335——$1,559
THE MEDICAL CENTER AT SCOTTSVILLE
SCOTTSVILLE
$5,030 $1,056$600$600—$600——$1,056
JACKSON PURCHASE MEDICAL CENTER
MAYFIELD
$5,046 $100$102$100$100—$105$85.00$100
CENTERPOINT HEALTH - GEORGETOWN
GEORGETOWN
$5,050 $28.83$102$37.30$100——$88.00$100
MCDOWELL ARH HOSPITAL
MCDOWELL
$5,270 $1,493$3,250$1,493$1,493—$1,523——
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 74178, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $2,955 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $2,633 for this?

That is the median of what the 78 Kentucky 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 Kentucky, Medicare reimburses about $308 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Kentucky range from $145 to $19,989 — that means hospital cash prices are typically 8.6x 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 Kentucky?
Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in Kentucky range from $145 to $19,989, with a median of $2,633. Prices vary widely by hospital.
Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in Kentucky?
The cheapest Kentucky hospital published cash price for this procedure is $145. 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.

Ct scan of abdomen and pelvis before and after contrast in nearby states

Other procedures in Kentucky

Methodology. Cash prices and insurance-negotiated rates published by each Kentucky facility under federal price transparency rules (45 CFR § 180). CPT code 74178 (Imaging). Data refreshed regularly; verify with the facility before any procedure.