Ct scan of abdomen and pelvis before and after contrast
Medicare pricing data for 34,903 providers across 52 states
Prices vary significantly by location — from $100 in West Virginia to $258 in Maryland. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Ct scan of abdomen and pelvis before and after contrast (HCPCS code 74178) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $180.33, but hospitals typically charge $899.63 — a 5.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $180.33, your out-of-pocket cost would be approximately $36.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $138.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $258 | $916 | 672 | 11,613 | +43.3% |
| New Jersey | $252 | $1,279 | 885 | 12,439 | +39.7% |
| Puerto Rico | $248 | $393 | 118 | 653 | +37.3% |
| Arizona | $244 | $1,327 | 601 | 10,816 | +35.4% |
| California | $239 | $1,015 | 2,986 | 55,941 | +32.8% |
| Florida | $233 | $1,212 | 2,426 | 42,667 | +29.4% |
| New York | $230 | $955 | 1,895 | 35,289 | +27.7% |
| Nevada | $226 | $1,005 | 327 | 3,911 | +25.5% |
| District of Columbia | $219 | $1,033 | 104 | 1,489 | +21.3% |
| Alaska | $218 | $2,073 | 83 | 826 | +20.6% |
| Hawaii | $206 | $852 | 112 | 998 | +14.1% |
| Rhode Island | $203 | $902 | 150 | 2,140 | +12.3% |
| Wyoming | $201 | $949 | 56 | 882 | +11.3% |
| Connecticut | $194 | $885 | 457 | 4,576 | +7.8% |
| Virginia | $178 | $1,188 | 853 | 13,413 | -1.4% |
| Texas | $174 | $1,030 | 2,714 | 45,245 | -3.3% |
| Minnesota | $174 | $1,012 | 1,197 | 13,886 | -3.8% |
| Washington | $172 | $744 | 872 | 7,723 | -4.5% |
| Delaware | $171 | $639 | 91 | 1,825 | -5.3% |
| Colorado | $165 | $836 | 648 | 7,063 | -8.6% |
| Tennessee | $164 | $859 | 944 | 12,683 | -8.8% |
| South Dakota | $163 | $713 | 166 | 1,761 | -9.8% |
| New Mexico | $158 | $926 | 203 | 2,426 | -12.2% |
| Utah | $158 | $515 | 232 | 1,972 | -12.5% |
| Alabama | $157 | $640 | 619 | 9,126 | -13.0% |
| Kansas | $155 | $622 | 371 | 5,811 | -13.9% |
| Arkansas | $150 | $483 | 401 | 12,661 | -17.0% |
| Illinois | $149 | $838 | 1,394 | 19,367 | -17.4% |
| Georgia | $148 | $929 | 1,040 | 13,051 | -17.8% |
| Oregon | $146 | $524 | 431 | 5,566 | -19.0% |
| North Carolina | $146 | $827 | 1,262 | 17,862 | -19.0% |
| Indiana | $145 | $653 | 720 | 9,410 | -19.4% |
| South Carolina | $144 | $943 | 606 | 10,004 | -20.2% |
| Mississippi | $141 | $1,065 | 323 | 7,636 | -21.9% |
| Nebraska | $139 | $657 | 283 | 5,372 | -23.1% |
| Iowa | $138 | $605 | 340 | 4,178 | -23.4% |
| Massachusetts | $138 | $549 | 783 | 10,986 | -23.5% |
| Montana | $136 | $624 | 108 | 1,414 | -24.3% |
| Louisiana | $136 | $717 | 507 | 8,677 | -24.6% |
| New Hampshire | $136 | $1,007 | 199 | 2,582 | -24.8% |
| Missouri | $134 | $609 | 767 | 11,043 | -25.6% |
| Wisconsin | $132 | $1,383 | 834 | 7,189 | -26.6% |
| Pennsylvania | $130 | $676 | 1,571 | 19,514 | -27.7% |
| Vermont | $127 | $893 | 44 | 574 | -29.5% |
| Idaho | $126 | $674 | 164 | 2,104 | -30.0% |
| Oklahoma | $124 | $676 | 360 | 6,352 | -31.2% |
| Michigan | $124 | $550 | 908 | 10,446 | -31.5% |
| Kentucky | $123 | $507 | 399 | 6,997 | -31.5% |
| Ohio | $122 | $638 | 1,199 | 12,223 | -32.6% |
| North Dakota | $115 | $511 | 118 | 1,620 | -36.4% |
| Maine | $114 | $512 | 154 | 1,351 | -36.9% |
| West Virginia | $100 | $491 | 172 | 2,305 | -44.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber