74178

Ct scan of abdomen and pelvis before and after contrast

Medicare pricing data for 34,903 providers across 52 states

🤖AI Overview

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

$36.07

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.

Average Allowed Cost
$180.33
Average Hospital Charge
$899.63
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$899.63
Medicare Allowed$180.33
Medicare Payment$138.58

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$258$91667211,613+43.3%
New Jersey$252$1,27988512,439+39.7%
Puerto Rico$248$393118653+37.3%
Arizona$244$1,32760110,816+35.4%
California$239$1,0152,98655,941+32.8%
Florida$233$1,2122,42642,667+29.4%
New York$230$9551,89535,289+27.7%
Nevada$226$1,0053273,911+25.5%
District of Columbia$219$1,0331041,489+21.3%
Alaska$218$2,07383826+20.6%
Hawaii$206$852112998+14.1%
Rhode Island$203$9021502,140+12.3%
Wyoming$201$94956882+11.3%
Connecticut$194$8854574,576+7.8%
Virginia$178$1,18885313,413-1.4%
Texas$174$1,0302,71445,245-3.3%
Minnesota$174$1,0121,19713,886-3.8%
Washington$172$7448727,723-4.5%
Delaware$171$639911,825-5.3%
Colorado$165$8366487,063-8.6%
Tennessee$164$85994412,683-8.8%
South Dakota$163$7131661,761-9.8%
New Mexico$158$9262032,426-12.2%
Utah$158$5152321,972-12.5%
Alabama$157$6406199,126-13.0%
Kansas$155$6223715,811-13.9%
Arkansas$150$48340112,661-17.0%
Illinois$149$8381,39419,367-17.4%
Georgia$148$9291,04013,051-17.8%
Oregon$146$5244315,566-19.0%
North Carolina$146$8271,26217,862-19.0%
Indiana$145$6537209,410-19.4%
South Carolina$144$94360610,004-20.2%
Mississippi$141$1,0653237,636-21.9%
Nebraska$139$6572835,372-23.1%
Iowa$138$6053404,178-23.4%
Massachusetts$138$54978310,986-23.5%
Montana$136$6241081,414-24.3%
Louisiana$136$7175078,677-24.6%
New Hampshire$136$1,0071992,582-24.8%
Missouri$134$60976711,043-25.6%
Wisconsin$132$1,3838347,189-26.6%
Pennsylvania$130$6761,57119,514-27.7%
Vermont$127$89344574-29.5%
Idaho$126$6741642,104-30.0%
Oklahoma$124$6763606,352-31.2%
Michigan$124$55090810,446-31.5%
Kentucky$123$5073996,997-31.5%
Ohio$122$6381,19912,223-32.6%
North Dakota$115$5111181,620-36.4%
Maine$114$5121541,351-36.9%
West Virginia$100$4911722,305-44.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber