CT abdomen/pelvis with/without cost in Boston, MA — inpatient
In Boston-Cambridge-Newton, MA-NH, 7 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $573.92 to $3,825.00, with a median of $1,510.60. The lowest listed price is at Boston Medical Center South — $936.68 less than the median here. Across Massachusetts, the median is $3,347.40 at 17 hospitals.
Cash prices at 7 facilities across 5 cities for code 74178, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Boston Medical Center South lowest Brockton, MA HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re | $573.92 | $1,275.38 | $394.86–$1,282.35 | 55% | — source file |
| Boston Medical Center Brighton Boston, MA HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re | $639.88 | $1,421.95 | $418.11–$1,348.00 | 55% | — source file |
| Melrosewakefield Healthcare Melrose, MA HC CT Abd & Pelv 1/> Regns WO Contrst | $1,290.80 | $1,844.00 | $288.41–$1,948.00 | 30% | — source file |
| Tufts Medical Center Boston, MA HC CT Abd & Pelv 1/> Regns WO Contrst | $1,510.60 | $2,158.00 | $192.94–$2,158.00 | 30% | — source file |
| Boston Medical Center Boston, MA HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re | $2,027.25 | $4,505.00 | $356.43–$3,829.25 | 55% | — source file |
| Lowell General Hospital Lowell, MA HC CT Abd & Pelv 1/> Regns WO Contrst | $3,347.40 | $4,782.00 | $288.41–$4,782.00 | 30% | — source file |
| Cambridge Health Alliance Cambridge, MA HC CT Abd & Pelvis WO Cont 1+ Reg | $3,825.00 | $3,825.00 | $477.02–$3,825.00 | — | — source file |
Inpatient: lowest $573.92, median $1,510.60, highest $3,825.00 — a 6.7× difference within the same market.
As an outpatient, the same code is billed by 8 facilities here, median $1,768.93 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 6 of 7 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.