Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Austin, TX

In Austin-Round Rock-San Marcos, TX, 13 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $2,161.53 to $5,300.36, with a median of $4,135.82. The lowest listed price is at Ascension Seton and 1 other hospital — $1,974.29 less than the median here. Across Texas, the median is $4,135.82 at 99 hospitals.

Cash prices at 13 facilities across 10 cities for code 74178, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 5, 2026 and Jun 13, 2026.

Lowest$2,161.53Ascension Seton + 1 more
Median$4,135.82half pay less
Highest$5,300.36in this market
Difference2.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Austin-Round Rock-San Marcos, TX.

median
Lowest $2,161.53Highest $6,890.28

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension Seton lowest Kyle, TX · (512) 324-5000 CT ABD/PEL WOW CONT $2,161.53 $6,004.25 $252.74–$2,701.91 64% —
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Ascension Seton lowest Kyle, TX · (512) 324-5000 CT ABD/PEL WOW CONT $2,161.53 $6,004.25 $252.74–$2,701.91 64% —
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Ascension Seton lowest Smithville, TX · (512) 237-3214 CT ABD/PEL WOW CONT $2,161.53 $6,004.25 $252.74–$2,701.91 64% —
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Ascension Seton lowest Smithville, TX · (512) 237-3214 CT ABD/PEL WOW CONT $2,161.53 $6,004.25 $252.74–$2,701.91 64% —
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Ascension Seton Luling, TX · (830) 875-7000 JUGULAR PULSE $3,114.36 $8,651.00 $223.24–$3,892.95 64% —
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Ascension Seton Luling, TX · (830) 875-7000 JUGULAR PULSE $3,114.36 $8,651.00 $223.24–$3,892.95 64% —
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Ascension Seton Kyle, TX · (512) 324-5000 JUGULAR PULSE $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Smithville, TX · (512) 237-3214 JUGULAR PULSE $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Smithville, TX · (512) 237-3214 JUGULAR PULSE $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Ascension Seton Kyle, TX · (512) 324-5000 JUGULAR PULSE $3,543.57 $9,843.25 $252.74–$4,429.46 64% —
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Baylor Scott & White Medical Center - Austin Austin, TX · (512) 654-2100 HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $332.94–$5,169.78 40% Jun 13, 2026
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Baylor Scott & White Medical Center - Lakeway Lakeway, TX HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $332.94–$6,203.74 40% Jun 13, 2026
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Baylor Scott & White Medical Center - Round Rock Round Rock, TX · (512) 509-0401 HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $332.94–$6,203.74 40% Jun 13, 2026
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Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $367.98–$4,480.48 40% Jun 3, 2026
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Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $494.01–$5,514.43 40% Jun 12, 2026
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Baylor Scott & White Medical Center - Buda Buda, TX · (737) 999-6200 HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $332.94–$5,169.78 40% Jun 13, 2026
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Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX · (512) 654-6100 HC CT ABD & PELVIS W & WO CONT $4,135.82 $6,893.04 $332.94–$6,203.74 40% Jun 13, 2026
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $4,202.98 $6,004.25 $252.74–$2,701.91 30% —
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Ascension Seton Austin, TX CT ABD/PEL WOW CONT $4,202.98 $6,004.25 $252.74–$2,701.91 30% —
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Ascension Seton Luling, TX · (830) 875-7000 CT ABD/PEL WOW CONT $4,545.54 $12,626.50 $223.24–$5,681.93 64% —
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Ascension Seton Luling, TX · (830) 875-7000 CT ABD/PEL WOW CONT $4,545.54 $12,626.50 $223.24–$5,681.93 64% —
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Texas Children's Hospital - Austin Austin, TX · (832) 824-1100 TC CT ABDOMEN & PELVIS W/O & W CONTRAST $5,073.91 $7,573.00 $350.18–$7,194.35 33% Mar 5, 2026
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Ascension Cedar Park Cedar Park, TX · (512) 528-7000 CT-ABD PELVIS WWO $5,300.36 $14,723.21 $252.74–$6,625.44 64% —
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Ascension Cedar Park Cedar Park, TX · (512) 528-7000 CT-ABD PELVIS WWO $5,300.36 $14,723.21 $252.74–$6,625.44 64% —
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Ascension Seton Austin, TX JUGULAR PULSE $6,890.28 $9,843.25 $252.74–$4,429.46 30% —
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Ascension Seton Austin, TX JUGULAR PULSE $6,890.28 $9,843.25 $252.74–$4,429.46 30% —
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Outpatient: lowest $2,161.53, median $4,135.82, highest $5,300.36 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $4,135.82. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 13 of 13 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This CT of the abdomen and pelvis takes one set of images without contrast dye and more images after dye is injected into a vein. It is used when doctors need to compare the organs before and after the dye, for example to look at the kidneys and urinary tract when there is blood in the urine, or at a liver or kidney mass.

What the price covers

The hospital price usually covers all image sets; the contrast agent may appear as a separate line on some bills. The radiologist's reading is often billed separately.