SelfPayRates — hospital cash prices, from the source
Cash prices at 6 facilities across 2 cities for code 74177, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| IOM Health System LP
FORT WAYNE, IN CT Enterography Abdomen Pelvis |
$933.00 | $3,110.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN CT Abdomen Pelvis W |
$933.00 | $3,110.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN CT Abd Pelvis W Pancreatic Protocol |
$933.00 | $3,110.00 | 70% | Apr 1, 2026 file |
|
| Parkview Whitley Hospital
COLUMBIA CITY, IN HC CT ABD & PELVIS W/CONTRAST |
$1,399.50 | $2,799.00 | 50% | — file |
|
| Parkview Regional Medical Center
FORT WAYNE, IN HC CT ABD & PELVIS W/CONTRAST |
$1,470.00 | $2,940.00 | 50% | — file |
|
| Parkview Ortho Hospital
FORT WAYNE, IN HC CT ABD & PELVIS W/CONTRAST |
$1,470.00 | $2,940.00 | 50% | — file |
|
| Dupont Hospital LLC
FORT WAYNE, IN CT Abd Pelvis with Rectal W |
$2,075.22 | $7,686.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN CT Abdomen Pelvis W |
$2,075.22 | $7,686.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN 74177 CT-ABD PELVIS W |
$2,075.22 | $7,686.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN CT Enterography Abdomen Pelvis |
$2,075.22 | $7,686.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN CT Abd Pelvis W Pancreatic Protocol |
$2,075.22 | $7,686.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN CT Trauma Abdomen Pelvis W |
$2,075.22 | $7,686.00 | 73% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN CT Abd Pelvis with Rectal W |
$2,574.00 | $8,580.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN 74177 CT-ABD PELVIS W |
$2,728.50 | $9,095.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN CT Trauma Abdomen Pelvis W |
$2,728.50 | $9,095.00 | 70% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN CT Abdomen Pelvis W |
$2,883.60 | $10,680.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN CT Abd Pelvis with Rectal W |
$2,883.60 | $10,680.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN CT Enterography Abdomen Pelvis |
$2,883.60 | $10,680.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN 74177 CT-ABD PELVIS W |
$2,883.60 | $10,680.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN CT Abd Pelvis W Pancreatic Protocol |
$2,883.60 | $10,680.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN CT Trauma Abdomen Pelvis W |
$2,883.60 | $10,680.00 | 73% | Apr 1, 2026 file |
Outpatient: lowest $933.00, median $2,075.22, highest $2,883.60 — a 3.1× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $2,883.60. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.