SelfPayRates — hospital cash prices, from the source
Cash prices at 2 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 Jan 1, 2026 and Mar 31, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| MEMORIAL HOSPITAL OF SOUTH BEND
SOUTH BEND, IN CT ROM Abdomen and Pelvis W-Contr |
$3,235.70 | $4,978.00 | 35% | Jan 1, 2026 file |
|
| MEMORIAL HOSPITAL OF SOUTH BEND
SOUTH BEND, IN CT Abdomen and Pelvis W-Contrast |
$3,235.70 | $4,978.00 | 35% | Jan 1, 2026 file |
|
| MEMORIAL HOSPITAL OF SOUTH BEND
SOUTH BEND, IN CT Enterography W-Contrast |
$3,235.70 | $4,978.00 | 35% | Jan 1, 2026 file |
|
| Mishawaka Medical Center
MISHAWAKA, IN HC CT Abdomen & Pelvis W/Contrast |
$4,152.20 | $6,388.00 | 35% | Mar 31, 2026 file |
|
| Mishawaka Medical Center
MISHAWAKA, IN HC CT Abdomen & Pelvis W/Contrast |
$4,333.22 | — | — | Mar 31, 2026 file |
Outpatient: lowest $3,235.70, median $3,235.70, highest $4,333.22 — a 1.3× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $3,235.70. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.