CT Scan of Abdomen and Pelvis Before and After Contrast Cost in Missouri
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 96 Missouri hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $2,981
📉 Low $108
📈 High $30,180
🏥 96 hospitals
🏛️ 72 with insurance contracts
🇺🇸 Medicare $316
Hospital comparison — Missouri
Sorted by cash price (lowest first). Showing top 60 of 96 hospitals.
Billed more than $2,981 for this? That gap is evidence.
Build my dispute letter
| Hospital | Cash | UHC | Aetna | BCBS | Cigna | Humana | MultiPlan | Centene | First Health |
|---|---|---|---|---|---|---|---|---|---|
| MERCY PRIMARY CARE - MALDEN MALDEN |
$108 | $207 | $120 | — | — | — | — | — | — |
| MERCY WALMART CLINIC DEXTER |
$108 | $207 | $120 | — | — | — | — | — | — |
| MERCY PRIMARY CARE - STODDARD DEXTER |
$108 | $207 | $120 | — | — | — | — | — | — |
| MERCY PRIMARY CARE - NEW MADRID NEW MADRID |
$108 | $207 | $120 | — | — | — | — | — | — |
| MERCY PRIMARY CARE - BERNIE BERNIE |
$108 | $207 | $120 | — | — | — | — | — | — |
| MISSOURI DELTA MEDICAL CENTER SIKESTON |
$108 | $207 | $120 | — | — | — | — | — | — |
| MERCY PRIMARY CARE - POPLAR BLUFF POPLAR BLUFF |
$108 | $207 | $120 | — | — | — | — | — | — |
| MERCY PRIMARY CARE - BLOOMFIELD NORTH BLOOMFIELD |
$108 | $207 | $120 | — | — | — | — | — | — |
| COX BARTON COUNTY HOSPITAL LAMAR |
$126 | $32.00 | $62.80 | — | $56.00 | $27.00 | $80.00 | $28.35 | $90.00 |
| IRON COUNTY MEDICAL CENTER PILOT KNOB |
$153 | $617 | $57.80 | $57.80 | $84.32 | $57.80 | — | $52.70 | — |
| BATES COUNTY MEMORIAL HOSPITAL BUTLER |
$193 | $79.74 | $89.52 | $89.52 | $89.52 | $89.52 | — | $89.52 | — |
| ELLETT MEMORIAL HOSPITAL NORTH OHIO AVENUE APPLETON CITY |
$224 | — | — | — | — | — | — | — | — |
| CARROLL COUNTY MEMORIAL HOSPITAL CARROLLTON |
$226 | — | — | — | — | — | — | — | — |
| CITIZENS MEMORIAL HOSPITAL BOLIVAR |
$251 | $83.00 | $75.00 | — | $80.00 | $85.00 | — | $384 | — |
| ST. JOSEPH MEDICAL CENTER KANSAS CITY |
$347 | $207 | $348 | $482 | $348 | — | — | — | — |
| ST. MARY'S MEDICAL CENTER BLUE SPRINGS |
$347 | $207 | $348 | $437 | $348 | — | — | — | — |
| MERCY HOSPITAL LINCOLN TROY |
$351 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL PERRY PERRYVILLE |
$488 | — | — | — | — | — | — | — | — |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER LEES SUMMIT ROAD KANSAS CITY |
$703 | $100 | $100 | $97.70 | $692 | $329 | $73.00 | $114 | — |
| UNIVERSITY HEALTH TRUMAN MEDICAL CENTER HOLMES KANSAS CITY |
$703 | $100 | $100 | $97.70 | $692 | $100 | $73.00 | $114 | $388 |
| NEVADA REGIONAL MEDICAL CENTER NEVADA |
$825 | $27.00 | $35.00 | $52.00 | — | $28.00 | — | — | — |
| MERCY HOSPITAL SOUTHEAST CAPE GIRARDEAU |
$1,186 | — | — | — | — | — | — | — | — |
| COX MEDICAL CENTER BRANSON BRANSON |
$1,430 | $50.00 | $85.00 | $100 | $55.00 | $372 | $87.00 | — | $50.00 |
| BOONE HOSPITAL CENTER COLUMBIA |
$1,560 | $349 | $361 | $356 | — | $355 | — | $367 | — |
| LIBERTY HOSPITAL LIBERTY |
$1,573 | $336 | $349 | $98.32 | $804 | $356 | — | $444 | — |
| WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI |
$1,583 | $1,161 | — | — | $1,731 | $1,900 | — | $865 | — |
| COX MEDICAL CENTER SOUTH SPRINGFIELD |
$1,588 | $22.00 | $49.50 | — | $55.00 | $348 | $75.00 | — | $63.30 |
| LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH |
$1,770 | $68.80 | $75.00 | — | $70.00 | — | — | $505 | — |
| PIKE COUNTY MEMORIAL HOSPITAL GEORGIA STREET LOUSIANA |
$1,877 | $2,346 | $2,346 | $2,346 | $2,346 | — | — | $2,346 | — |
| COX MONETT HOSPITAL MONETT |
$1,922 | $22.00 | $80.50 | — | $55.00 | $22.00 | $75.00 | $23.00 | $92.00 |
| HARRISON COUNTY COMMUNITY HOSPITAL BETHANY |
$1,982 | $340 | $414 | $316 | $296 | $340 | $300 | $340 | — |
| SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER ST. LOUIS |
$2,002 | $663 | — | $246 | — | — | — | — | — |
| SSM HEALTH ST. LOUIS UNIVERSITY HOSPITAL ST. LOUIS |
$2,090 | $468 | — | $289 | — | — | — | — | — |
| SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU |
$2,135 | $298 | $305 | $349 | — | — | — | — | — |
| ST. LOUIS CHILDREN'S HOSPITAL ST LOUIS |
$2,224 | $343 | $343 | $343 | $1,831 | $343 | $2,780 | — | $2,754 |
| HEDRICK MEDICAL CENTER CHILLICOTHE |
$2,346 | $811 | $3,324 | $811 | $811 | $3,664 | — | — | $3,631 |
| WRIGHT MEMORIAL HOSPITAL TRENTON |
$2,346 | $811 | $3,224 | $811 | $811 | $3,284 | — | — | $3,222 |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY JEFFERSON CITY |
$2,362 | $828 | — | $505 | — | — | — | — | — |
| CEDAR COUNTY MEMORIAL HOSPITAL EL DORADO SPRINGS |
$2,372 | $54.00 | $54.00 | — | $90.00 | $54.00 | $65.00 | $54.00 | — |
| MERCY HOSPITAL SOUTH ST. LOUIS |
$2,500 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL STODDARD DEXTER |
$2,525 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL - LAKE SAINT LOUIS LAKE ST. LOUIS |
$2,581 | $736 | — | $252 | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL ST LOUIS ST. LOUIS |
$2,581 | $736 | — | $252 | — | — | — | — | — |
| SSM HEALTH ST JOSEPH HEALTH CENTER -SAINT CHARLES ST. CHARLES |
$2,581 | $736 | — | $252 | — | — | — | — | — |
| SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS BRIDGETON |
$2,581 | $736 | — | $252 | — | — | — | — | — |
| SSM HEALTH ST. CLARE HOSPITAL - FENTON FENTON |
$2,581 | $736 | — | $252 | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL-WENTZVILLE WENTZVILLE |
$2,581 | $736 | — | $252 | — | — | — | — | — |
| MERCY HOSPITAL CARTHAGE CARTHAGE |
$2,674 | — | — | — | — | — | — | — | — |
| BARNES-JEWISH HOSPITAL ST. LOUIS |
$2,704 | $349 | $349 | $349 | $872 | $349 | $3,380 | — | $3,348 |
| PROGRESS WEST HOSPITAL O'FALLON |
$2,981 | $349 | $349 | $349 | $597 | $349 | $3,727 | — | $3,692 |
| MISSOURI BAPTIST MEDICAL CENTER ST. LOUIS |
$2,981 | $349 | $349 | $349 | $597 | $349 | $3,727 | — | $3,692 |
| BARNES-JEWISH WEST COUNTY HOSPITAL ST LOUIS |
$2,981 | $349 | $349 | $349 | $597 | $349 | $3,727 | — | $3,692 |
| BARNES-JEWISH ST. PETERS HOSPITAL ST. PETERS |
$2,981 | $349 | $349 | $349 | $597 | $349 | $3,727 | — | $3,692 |
| CHRISTIAN HOSPITAL ST. LOUIS |
$2,981 | $349 | $349 | $349 | $597 | $349 | $3,727 | — | $3,692 |
| SAMARITAN HOSPITAL MACON |
$3,157 | — | — | — | — | $3,038 | $3,157 | $1,780 | — |
| SHRINERS CHILDREN'S ST. LOUIS SAINT LOUIS |
$3,175 | $344 | $282 | — | $306 | — | $85.00 | $25.00 | — |
| BELTON REGIONAL MEDICAL CENTER BELTON |
$3,200 | $207 | $215 | $620 | $427 | $599 | $330 | $595 | — |
| MOSAIC MEDICAL CENTER ALBANY ALBANY |
$3,400 | $296 | $296 | $102 | $2,964 | $3,040 | $3,400 | $443 | — |
| COMMUNITY HOSPITAL FAIRFAX FAIRFAX |
$3,400 | $2,380 | $2,040 | $2,210 | $2,312 | — | — | — | — |
| GOLDEN VALLEY MEMORIAL HOSPITAL CLINTON |
$3,600 | $88.00 | $80.00 | $70.00 | $79.00 | $72.50 | $85.00 | $447 | $90.00 |
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 $2,981 for this?
That is the median of what the 96 Missouri 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.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 74178 in Missouri, Medicare reimburses about $316 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Missouri range from $108 to $30,180 — that means hospital cash prices are typically 9.4x 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 Missouri?
- Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in Missouri range from $108 to $30,180, with a median of $2,981. Prices vary widely by hospital.
- Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in Missouri?
- The cheapest Missouri hospital published cash price for this procedure is $108. 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 Missouri
Methodology. Cash prices and insurance-negotiated rates published by each Missouri facility under federal price transparency rules (45 CFR § 180). CPT code 74178 (Imaging). Data refreshed regularly; verify with the facility before any procedure.