CT Scan of Abdomen and Pelvis Before and After Contrast Cost in Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 67 Virginia hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $3,401
📉 Low $63.69
📈 High $21,334
🏥 67 hospitals
🏛️ 47 with insurance contracts
🇺🇸 Medicare $332
Hospital comparison — Virginia
Sorted by cash price (lowest first). Showing top 60 of 67 hospitals.
Billed more than $3,401 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Humana | BCBS | MultiPlan | Medicare | Molina |
|---|---|---|---|---|---|---|---|---|---|
| CENTRA SOUTHSIDE COMMUNITY HOSPITAL OAK STREET FARMVILLE |
$63.69 | $34.20 | $201 | $70.90 | $374 | — | — | — | $203 |
| CENTRA LYNCHBURG GENERAL HOSPITAL LYNCHBURG |
$63.69 | $34.20 | $89.00 | $67.60 | $374 | — | — | — | $338 |
| CENTRA SPECIALTY HOSPITAL RIVERMONT AVE LYNCHBURG |
$63.69 | $34.20 | $89.00 | $67.60 | $374 | — | — | — | $338 |
| CENTRA BEDFORD MEMORIAL HOSPITAL BEDFORD |
$63.69 | $34.20 | $201 | $90.00 | $349 | — | — | — | $203 |
| BUCHANAN GENERAL HOSPITAL GRUNDY |
$256 | $361 | $357 | — | $357 | — | — | $357 | — |
| BATH COMMUNITY HOSPITAL HOT SPRINGS |
$389 | $528 | $3,691 | — | — | — | — | — | — |
| DICKENSON COMMUNITY HOSPITAL CLINTWOOD |
$577 | $606 | $522 | $427 | $764 | $314 | — | $752 | $606 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$577 | $552 | $522 | $427 | $560 | $314 | — | $552 | $574 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$577 | $552 | $522 | $427 | $560 | $314 | — | $552 | $574 |
| SMYTH COUNTY COMMUNITY HOSPITAL MARION |
$588 | $340 | $340 | $357 | $340 | $314 | — | $340 | $354 |
| JOHNSTON MEMORIAL HOSPITAL ABINGDON |
$588 | $340 | $340 | $357 | $340 | $296 | — | $340 | $354 |
| RUSSELL COUNTY HOSPITAL LEBANON |
$588 | $340 | $340 | $357 | $346 | $314 | — | $340 | $354 |
| LONESOME PINE HOSPITAL BIG STONE GAP |
$588 | $340 | $290 | $357 | $340 | $314 | — | $340 | $357 |
| BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL FRANKLIN |
$898 | — | — | — | — | — | — | — | — |
| INOVA FAIRFAX HOSPITAL FALLS CHURCH |
$1,149 | — | — | — | — | — | — | — | — |
| INOVA MOUNT VERNON HOSPITAL ALEXANDRIA |
$1,149 | — | — | — | — | — | — | — | — |
| INOVA LOUDOUN HOSPITAL LEESBURG |
$1,149 | — | — | — | — | — | — | — | — |
| INOVA ALEXANDRIA HOSPITAL ALEXANDRIA |
$1,149 | — | — | — | — | — | — | — | — |
| INOVA FAIR OAKS HOSPITAL JOSEPH SIEWICK DRIVE FAIRFAX |
$1,149 | — | — | — | — | — | — | — | — |
| AUGUSTA HEALTH-MAIN CAMPUS FISHERSVILLE |
$1,681 | $278 | $180 | $928 | $180 | $337 | — | — | $351 |
| TWIN COUNTY REGIONAL HOSPITAL GALAX |
$1,892 | $34.20 | $50.30 | $60.50 | $102 | $100 | — | $100 | — |
| UVA PRINCE WILLIAM MEDICAL CENTER MANASSAS |
$2,050 | — | — | — | — | — | — | — | — |
| UVA HAYMARKET MEDICAL CENTER HAYMARKET |
$2,050 | — | — | — | — | — | — | — | — |
| BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL KILMARNOCK |
$2,066 | — | — | — | — | — | — | — | — |
| CARILION ROCKBRIDGE COMMUNITY HOSPITAL HEALTH CIR LEXINGTON |
$2,154 | $306 | $328 | $4,929 | $319 | — | — | — | — |
| CARILION ROANOKE MEMORIAL HOSPITAL BELLEVIEW AVE SE ROANOKE |
$2,154 | $306 | $328 | $4,148 | $319 | — | — | — | — |
| CARILION NEW RIVER VALLEY MEDICAL CENTER LAMB CIRCLE CHRISTIANSBURG |
$2,154 | $306 | $328 | $4,148 | $319 | — | — | — | — |
| CARILION FRANKLIN MEMORIAL HOSPITAL S MAIN ST ROCKY MT |
$2,154 | $306 | $328 | $4,148 | $319 | — | — | — | — |
| CARILION TAZEWELL COMMUNITY HOSPITAL BEN BOLT AVE TAZEWELL |
$2,154 | $306 | $328 | $3,908 | $319 | — | — | — | — |
| CARILION GILES COMMUNITY HOSPITAL BELLEVIEW AVE SE ROANOKE |
$2,154 | $306 | $328 | $4,148 | $319 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$2,154 | $306 | $328 | $4,148 | $319 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$2,154 | $306 | $328 | $4,148 | $319 | — | — | — | — |
| UVA CULPEPER MEDICAL CENTER CULPEPER |
$2,572 | — | — | — | — | — | — | — | — |
| MARY WASHINGTON HOSPITAL FREDERICKSBURG |
$2,588 | $317 | $443 | — | $366 | $443 | $317 | — | $381 |
| STAFFORD HOSPITAL HOSPITAL CENTER BLVD. STAFFORD |
$2,588 | $317 | $443 | — | $366 | $443 | $317 | — | $381 |
| FAUQUIER HOSPITAL WARRENTON |
$2,896 | $58.30 | $102 | $70.00 | $102 | $145 | — | $100 | — |
| VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL WOODSTOCK |
$3,401 | $308 | $308 | $1,410 | $1,444 | $308 | — | — | — |
| VALLEY HEALTH WINCHESTER MEDICAL CENTER WINCHESTER |
$3,401 | $168 | $175 | $1,410 | $192 | $187 | — | — | — |
| VALLEY HEALTH WARREN MEMORIAL HOSPITAL FRONT ROYAL |
$3,401 | $168 | $180 | $1,410 | $180 | $184 | — | — | — |
| PAGE MEMORIAL HOSPITAL LURAY |
$3,401 | $330 | $330 | $3,625 | $1,544 | $330 | — | — | — |
| SOVAH HEALTH DANVILLE DANVILLE |
$3,416 | $51.90 | $54.62 | $58.90 | $102 | $100 | $90.00 | $100 | — |
| SOVAH HEALTH MARTINSVILLE MARTINSVILLE |
$3,416 | $51.90 | $54.62 | $58.90 | $102 | $100 | $90.00 | $100 | — |
| BON SECOURS RICHMOND COMMUNITY HOSPITAL RICHMOND |
$3,494 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. MARY'S HOSPITAL RICHMOND |
$3,494 | — | — | — | — | — | — | — | — |
| BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER MECHANICSVILLE |
$3,494 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. FRANCIS MEDICAL CENTER MIDLOTHIAN |
$3,494 | — | — | — | — | — | — | — | — |
| UVA CHILDRENS LEE STREET CHARLOTTESVILLE |
$3,980 | — | — | — | — | — | — | — | — |
| BON SECOURS SOUTHSIDE REGIONAL MEDICAL CENTER PETERSBURG |
$4,099 | — | — | — | — | — | — | — | — |
| BON SECOURS MARYVIEW MEDICAL CENTER PORTSMOUTH |
$4,374 | — | — | — | — | — | — | — | — |
| BON SECOURS MARY IMMACULATE HOSPITAL NEWPORT NEWS |
$4,374 | — | — | — | — | — | — | — | — |
| BON SECOURS HARBOUR VIEW MEDICAL CENTER SUFFOLK |
$4,374 | — | — | — | — | — | — | — | — |
| BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER EMPORIA |
$6,916 | — | — | — | — | — | — | — | — |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER FREDERICKSBURG |
$7,104 | $1,819 | $828 | $1,890 | — | — | $5,044 | — | — |
| WYTHE COUNTY COMMUNITY HOSPITAL WYTHEVILLE |
$7,552 | $41.60 | $63.10 | $64.70 | $100 | $100 | — | $100 | — |
| LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG |
$7,729 | $2,807 | $828 | $1,345 | — | — | $5,951 | — | — |
| CLINCH VALLEY MEDICAL CENTER RICHLANDS |
$7,897 | $51.30 | $54.90 | $58.90 | $100 | $100 | — | $100 | — |
| STONESPRINGS HOSPITAL CENTER DULLES |
$10,435 | $1,819 | $828 | $2,066 | — | — | — | — | — |
| RESTON HOSPITAL CENTER RESTON |
$10,632 | $1,819 | $828 | $2,105 | — | — | — | — | — |
| LEWISGALE HOSPITAL ALLEGHANY LOW MOOR |
$12,372 | $2,807 | $828 | — | — | — | $11,135 | — | — |
| LEWISGALE HOSPITAL PULASKI PULASKI |
$19,520 | $2,807 | $828 | — | — | — | $15,030 | — | — |
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 $3,401 for this?
That is the median of what the 67 Virginia 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 Virginia, Medicare reimburses about $332 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Virginia range from $63.69 to $21,334 — that means hospital cash prices are typically 10.2x 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 Virginia?
- Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in Virginia range from $63.69 to $21,334, with a median of $3,401. Prices vary widely by hospital.
- Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in Virginia?
- The cheapest Virginia hospital published cash price for this procedure is $63.69. 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 Virginia
Methodology. Cash prices and insurance-negotiated rates published by each Virginia facility under federal price transparency rules (45 CFR § 180). CPT code 74178 (Imaging). Data refreshed regularly; verify with the facility before any procedure.