Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Charlotte, NC

In Charlotte-Concord-Gastonia, NC-SC, 16 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $686.00 to $11,587.50, with a median of $3,810.23. The lowest listed price is at MUSC Chester Regional Medical Center — $3,124.23 less than the median here. Across North Carolina, the median is $3,810.23 at 37 hospitals.

Cash prices at 16 facilities across 13 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 Dec 1, 2025 and Sep 1, 2026.

Lowest$686.00MUSC Chester Regional Medical Center
Median$3,810.23half pay less
Highest$11,587.50in this market
Difference16.9×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 Charlotte-Concord-Gastonia, NC-SC.

median
Lowest $686.00Highest $11,587.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MUSC Chester Regional Medical Center lowest Chester, SC · (803) 581-3151 HB CT ABDOMEN & PELVIS WO CONTRAST F-BY CONTRAST $686.00 $1,372.00 — 50% Apr 1, 2026
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Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC CT ABD&PELVIS WOW CNTRST $2,714.04 $10,052.00 $552.00–$6,533.80 73% —
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Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 CT Abd&Pelvis Wow Cntrst $2,714.04 $10,052.00 $552.04–$2,507.09 73% —
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Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 CT Abd&Pelvis Wow Cntrst $2,714.04 $10,052.00 $552.04–$2,507.09 73% —
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Carolinas Rehabilitation Charlotte, NC HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $364.27–$7,010.81 50% Dec 5, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $1,447.89–$7,620.45 50% Dec 4, 2025
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Carolinas Rehabilitation Belmont, NC HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $364.27–$7,010.81 50% Dec 5, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$7,010.81 50% Dec 4, 2025
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Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$7,239.43 50% Dec 1, 2025
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Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$7,239.43 50% Dec 1, 2025
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Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $341.74–$7,239.43 50% Dec 1, 2025
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Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$7,010.81 50% Dec 5, 2025
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Atrium Health Union Monroe, NC · (704) 283-3100 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$7,239.43 50% Dec 4, 2025
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Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$7,391.84 50% Dec 5, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $346.46–$6,858.41 50% Dec 4, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $3,810.23 $7,620.45 $364.27–$6,858.41 50% Dec 5, 2025
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Gaston Memorial Hospital Gastonia, NC HCHG CT ABD PELVIS WO CONT THEN W CONT $9,150.00 $9,150.00 $356.43–$8,692.50 — May 11, 2026
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Gaston Memorial Hospital Mount Holly, NC HCHG CT ABD PELVIS WO CONT THEN W CONT $9,150.00 $9,150.00 $356.43–$8,692.50 — May 11, 2026
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Gaston Memorial Hospital Belmont, NC HCHG CT ABD PELVIS WO CONT THEN W CONT $9,150.00 $9,150.00 $356.43–$8,692.50 — May 11, 2026
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MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB CT ABDOMEN & PELVIS WO CONTRAST F-BY CONTRAST $9,514.00 $19,028.00 — 50% Apr 1, 2026
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Amisub of South Carolina Rock Hill, SC CT ABD & PELVIS WO/W CM $11,587.50 $15,450.00 $1.00–$11,742.00 25% Sep 1, 2026
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Amisub of South Carolina Fort Mill, SC CT ABD & PELVIS WO/W CM $11,587.50 $15,450.00 $1.00–$11,742.00 25% Apr 15, 2026
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Outpatient: lowest $686.00, median $3,810.23, highest $11,587.50 — a 16.9× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $3,810.23. 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 11 of 14 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.