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CT Scan of Abdomen and Pelvis Before and After Contrast Cost in North Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 100 North Carolina hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $3,810
📉 Low $1,500
📈 High $9,845
🏥 100 hospitals
🏛️ 63 with insurance contracts
🇺🇸 Medicare $318
Hospital comparison — North Carolina
Sorted by cash price (lowest first). Showing top 60 of 100 hospitals.
Billed more than $3,810 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Centene | UHC | Cigna | Humana | MultiPlan | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| SWAIN COMMUNITY HOSPITAL BRYSON CITY |
$1,500 | $39.00 | $39.00 | $39.00 | $39.00 | $68.20 | — | — | $39.00 |
| DUKE RALEIGH HOSPITAL RALEIGH |
$1,546 | — | — | — | — | — | — | — | — |
| DUKE REGIONAL HOSPITAL DURHAM |
$1,546 | — | — | — | — | — | — | — | — |
| DUKE UNIVERSITY HOSPITAL DURHAM |
$1,546 | — | — | — | — | — | — | — | — |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL GREENSBORO |
$1,807 | — | — | — | — | — | — | — | — |
| CONE HEALTH MOSES CONE HOSPITAL GREENSBORO |
$1,807 | — | — | — | — | — | — | — | — |
| CONE HEALTH ANNIE PENN HOSPITAL REIDSVILLE |
$1,807 | — | — | — | — | — | — | — | — |
| CONE HEALTH WESLEY LONG HOSPITAL GREENSBORO |
$1,807 | — | — | — | — | — | — | — | — |
| CONE HEALTH ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON |
$1,807 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH PENDER MEDICAL CENTER BURGAW |
$1,814 | $1,116 | $367 | $1,155 | $2,943 | $1,121 | $1,034 | — | — |
| NORTH CAROLINA SPECIALTY HOSPITAL DURHAM |
$1,867 | $58.90 | $50.22 | $356 | — | $77.60 | — | $80.00 | — |
| ALLEGHANY MEMORIAL HOSPITAL DOCTORS STREET SPARTA |
$1,982 | $1,348 | $383 | $1,348 | $700 | $3,331 | — | — | — |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES HWY NORTH DANBURY |
$2,069 | — | — | — | — | — | — | — | — |
| HARRIS REGIONAL HOSPITAL HOSPITAL ROAD SYLVA |
$2,529 | $44.60 | $36.18 | $49.49 | $100 | $295 | $102 | — | $100 |
| HAYWOOD REGIONAL MEDICAL CENTER CLYDE |
$2,529 | $44.60 | $28.92 | $45.31 | $37.10 | $100 | $102 | — | — |
| WAKEMED CARY HOSPITAL CARY |
$2,534 | $345 | $345 | $414 | — | — | — | — | — |
| WAKEMED NORTH HOSPITAL RALEIGH |
$2,534 | $345 | $345 | $345 | — | — | — | — | — |
| WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK SUNNYBROOK ROAD RALEIGH |
$2,534 | — | — | — | — | — | — | — | — |
| RANDOLPH HOSPITAL ASHEBORO |
$2,548 | $24.70 | $17.00 | $376 | $14.10 | $33.00 | $376 | — | — |
| PAM HEALTH SPECIALTY HOSPITAL OF ROCKY MOUNT ROCKY MOUNT |
$2,552 | — | — | — | — | — | — | $2,042 | — |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CHARLOTTE |
$2,569 | $348 | $339 | $913 | $339 | $349 | $339 | $3,854 | — |
| DUKE HEALTH LAKE NORMAN HOSPITAL MOORESVILLE |
$2,714 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH FORSYTH MEDICAL CENTER WINSTON-SALEM |
$2,782 | $347 | $338 | $878 | $338 | $349 | $338 | $4,173 | — |
| WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH |
$2,808 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH CLEMMONS MEDICAL CENTER CLEMMONS |
$2,845 | $347 | $338 | $898 | $338 | $349 | $338 | $4,267 | — |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER BOLIVIA |
$2,988 | $384 | $367 | $842 | $374 | $385 | $374 | $5,379 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER BERMUDA RUN |
$3,102 | $346 | $346 | $346 | $346 | $346 | $349 | $5,584 | — |
| NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL CHARLOTTE |
$3,248 | $348 | $339 | $1,155 | $339 | $349 | $339 | $4,873 | — |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER CHARLOTTE |
$3,248 | $348 | $339 | $1,351 | $339 | $349 | $339 | $4,873 | — |
| NOVANT HEALTH MINT HILL MEDICAL CENTER CHARLOTTE |
$3,248 | $348 | $339 | $2,555 | $339 | $349 | $339 | $4,873 | — |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HUNTERSVILLE |
$3,248 | $348 | $339 | $819 | $339 | $349 | $339 | $4,873 | — |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER MATTHEWS |
$3,248 | $348 | $339 | $862 | $339 | $349 | $339 | $4,873 | — |
| NOVANT HEALTH ROWAN MEDICAL CENTER SALISBURY |
$3,248 | $348 | $339 | $1,117 | $339 | $349 | $339 | $4,873 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WINSTON SALEM |
$3,273 | $1,551 | $1,467 | $1,498 | $1,115 | $1,047 | $3,581 | $5,891 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER HIGH POINT |
$3,326 | $1,983 | $2,253 | $975 | $975 | $3,652 | $6,187 | $5,988 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER LEXINGTON |
$3,346 | $1,900 | $1,867 | $1,273 | $1,273 | $2,911 | $5,888 | $6,022 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER NORTH WILKESBORO |
$3,368 | $2,559 | $2,338 | $1,273 | $1,273 | $3,529 | — | $6,196 | — |
| NOVANT HEALTH KERNERSVILLE MEDICAL CENTER KERNERSVILLE |
$3,469 | $347 | $338 | $1,095 | $338 | $349 | $338 | $5,204 | — |
| UNC ROCKINGHAM HOSPITAL EAST KINGS HWY EDEN |
$3,624 | — | — | — | — | — | — | — | — |
| CENTRAL CAROLINA HOSPITAL CARTHAGE STREET SANFORD |
$3,691 | $348 | $845 | $350 | $345 | — | $342 | — | — |
| CAROLINAS REHABILITATION MOUNT HOLLY BELMONT |
$3,810 | $91.84 | $2,642 | $80.71 | $80.71 | $88.73 | $90.50 | $7,011 | $3,368 |
| ATRIUM HEALTH STANLY ALBERMARLE |
$3,810 | $91.84 | $1,185 | $80.71 | $80.71 | $88.73 | $90.50 | $7,163 | $3,368 |
| ATRIUM HEALTH LINCOLN LINCOLNTON |
$3,810 | $91.84 | $2,185 | $80.71 | $80.71 | $88.73 | $90.50 | $7,239 | $3,368 |
| ATRIUM HEALTH UNION WEST MONROE |
$3,810 | $91.84 | $996 | $80.71 | $80.71 | $88.73 | $90.50 | $7,239 | $3,368 |
| ATRIUM HEALTH LEVINE CHILDREN'S HOSPITAL CHARLOTTE |
$3,810 | $91.84 | $3,180 | $80.71 | $80.71 | $88.73 | $90.50 | $6,858 | $3,368 |
| ATRIUM HEALTH PINEVILLE CHARLOTTE |
$3,810 | $91.84 | $1,352 | $80.71 | $80.71 | $88.73 | $90.50 | $7,011 | $3,368 |
| ATRIUM HEALTH BEHAVIORAL HEALTH CHARLOTTE CHARLOTTE |
$3,810 | $91.84 | $88.73 | $80.71 | $80.71 | $93.17 | $90.50 | — | — |
| ATRIUM HEALTH UNIVERSITY CITY CHARLOTTE |
$3,810 | $91.84 | $1,071 | $80.71 | $80.71 | $88.73 | $90.50 | $7,011 | $3,368 |
| ATRIUM HEALTH ANSON WADESBORO |
$3,810 | $91.84 | $3,054 | $79.91 | $80.71 | $88.73 | $90.50 | $7,239 | $3,368 |
| ATRIUM HEALTH CABARRUS CONCORD |
$3,810 | $91.84 | $1,516 | $80.71 | $80.71 | $88.73 | $90.50 | $7,239 | $3,368 |
| ATRIUM HEALTH KINGS MOUNTAIN SHELBY |
$3,810 | $91.84 | $1,713 | $80.71 | $80.71 | $88.73 | $90.50 | $7,239 | $3,368 |
| ATRIUM HEALTH MERCY CHARLOTTE |
$3,810 | $91.84 | $1,347 | $80.71 | $80.71 | $88.73 | $90.50 | $7,011 | $3,368 |
| ATRIUM HEALTH CAROLINAS MEDICAL CENTER CHARLOTTE |
$3,810 | $91.84 | $1,713 | $80.71 | $80.71 | $88.73 | $90.50 | $6,858 | $3,368 |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM WHITEVILLE |
$3,817 | $347 | $335 | $335 | $335 | $352 | $345 | $4,907 | $3,615 |
| CAPE FEAR VALLEY MEDICAL CENTER FAYETTEVILLE |
$3,865 | $50.00 | $63.08 | $346 | $35.00 | $60.00 | $75.00 | $82.00 | — |
| CAPE FEAR VALLEY BLADEN COUNTY HOSPITAL ELIZABETHTOWN |
$3,865 | $23.46 | $70.20 | $22.00 | $58.00 | $95.00 | $22.00 | $82.00 | — |
| CAPE FEAR VALLEY BETSY JOHNSON HOSPITAL DUNN |
$3,865 | $50.00 | $56.80 | $346 | $49.00 | $54.10 | $75.00 | $72.00 | — |
| CAPE FEAR VALLEY HOKE HOSPITAL RAEFORD |
$3,865 | $50.00 | $62.60 | $346 | $49.00 | $60.00 | $75.00 | $82.00 | — |
| CAPE FEAR VALLEY HIGHSMITH-RAINEY SPECIALTY HOSPITAL FAYETTEVILLE |
$3,865 | $50.00 | $64.20 | $346 | $35.00 | $60.00 | $75.00 | $82.00 | — |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER THOMASVILLE |
$3,898 | $347 | $338 | $1,204 | $338 | $349 | $338 | $5,847 | — |
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 $3,810 for this?
That is the median of what the 100 North Carolina 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 North Carolina, Medicare reimburses about $318 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Carolina range from $1,500 to $9,845 — that means hospital cash prices are typically 12.0x 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 North Carolina?
- Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in North Carolina range from $1,500 to $9,845, with a median of $3,810. Prices vary widely by hospital.
- Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in North Carolina?
- The cheapest North Carolina hospital published cash price for this procedure is $1,500. 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 North Carolina
Methodology. Cash prices and insurance-negotiated rates published by each North Carolina facility under federal price transparency rules (45 CFR § 180). CPT code 74178 (Imaging). Data refreshed regularly; verify with the facility before any procedure.