Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 50 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $372.00 to $8,745.10, with a median of $4,100.00. The lowest listed price is at Saint Francis Hospital and 1 other hospital — $3,728.00 less than the median here. Across Illinois, the median is $3,950.00 at 64 hospitals.

Cash prices at 50 facilities across 37 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 17, 2025 and Sep 1, 2026.

Lowest$372.00Saint Francis Hospital + 1 more
Median$4,100.00half pay less
Highest$8,745.10in this market
Difference23.5×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $372.00Highest $8,745.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Saint Francis Hospital lowest Evanston, IL · (847) 316-4000 HC CT SCAN ABDOMEN/PELVIS COMBO $372.00 $7,026.00 $247.68–$5,831.58 95% Sep 1, 2026
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Mercy Medical Center lowest Aurora, IL · (630) 859-2222 ABDOMEN/PELVIS W/WO CONTRAST $372.00 $11,594.00 $252.53–$11,594.00 97% Sep 1, 2026
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Roseland Community Hospital Association Chicago, IL · (773) 995-3000 CT scan of abdomen and pelvis before and after contrast $381.53 $942.00 $347.69–$1,036.20 59% Jul 1, 2026
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Humboldt Park Health North Francisco Chicago, IL · (773) 292-8200 CT scan of abdomen and pelvis before and after contrast $1,211.74 $4,327.65 $4,327.65 72% Aug 24, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 CT Abd & Pelvis W/ & W/O Cont 1 or Both Bdy Regions $1,274.33 $6,707.00 $3,098.63–$4,896.11 81% Mar 31, 2026
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CT Chest/Abd/Pelvis w/ + w/o IV Only $1,337.14 $3,932.77 $240.00–$2,556.30 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CT Chest/Abd/Pelvis w/ + w/o IV Only $1,337.14 $3,932.77 $240.00–$2,556.30 66% Mar 17, 2025
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Loyola University Medical Center Maywood, IL · (708) 216-9000 CT Abd & Pelvis W/ & W/O Cont 1 or Both Bdy Regions $1,542.61 $6,707.00 $3,929.00–$5,734.49 77% Mar 31, 2026
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Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $1,575.00 $6,300.00 — 75% Apr 1, 2026
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Community First Medical Center Chicago, IL · (773) 282-7000 CT scan of abdomen and pelvis before and after contrast $1,716.63 $3,433.25 $370.84–$3,433.25 50% Apr 1, 2026
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Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC CT OF ABDOMEN/PELVIS W/WO CONTRAST $2,318.58 $7,026.00 $283.16–$4,145.34 67% —
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Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 CT ABDOMEN & PELVIS W/WO DYE $2,550.00 $5,100.00 $539.81–$4,080.00 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn Oak Lawn, IL CT ABDOMEN & PELVIS W/WO DYE $2,550.00 $5,100.00 $539.81–$4,080.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 CT ABDOMEN & PELVIS W/WO DYE $2,570.00 $5,140.00 $539.81–$4,112.00 50% Nov 4, 2025
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Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 CT ABDOMEN & PELVIS W/WO DYE $2,610.00 $5,220.00 $539.81–$4,176.00 50% Nov 4, 2025
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Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 CT ABDOMEN & PELVIS W/WO DYE $2,765.00 $5,530.00 $539.81–$4,501.42 50% Nov 4, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CT Abd/Pelvis w/ + w/o IV&Oral Contrast BCE $3,482.20 $10,241.75 $240.00–$6,657.14 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CT Abd/Pelvis w/ + w/o IV&Oral Contrast $3,482.20 $10,241.75 $240.00–$6,657.14 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CT Abd/Pelvis w/ + w/o IV Contrast Only $3,482.20 $10,241.75 $240.00–$6,657.14 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CT Urogram $3,482.20 $10,241.75 $240.00–$6,657.14 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CHI ABD/PEL W/WO CONTRAST $3,482.20 $10,241.75 $240.00–$6,657.14 66% Mar 17, 2025
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Shriners Childrens - Chicago Chicago, IL · (773) 622-5400 CT ABD&PLV WO CNTR FLWD CNTR $3,510.00 $3,510.00 $284.00–$556.08 — —
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Advocate South Suburban Hospital Hazel Crest, IL CT ABDOMEN & PELVIS W/WO DYE $3,580.00 $7,160.00 $539.81–$6,973.84 50% Nov 4, 2025
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Advocate Trinity Hospital Chicago, IL · (773) 967-5002 CT ABDOMEN & PELVIS W/WO DYE $3,580.00 $7,160.00 $539.81–$5,728.00 50% Nov 4, 2025
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Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 CT ABDOMEN & PELVIS W/WO DYE $3,630.00 $7,260.00 $539.81–$5,808.00 50% Nov 4, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CT Abd/Pelvis w/ + w/o IV&Oral Contrast $3,909.02 $11,497.12 $240.00–$7,473.13 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CT Urogram $3,909.02 $11,497.12 $240.00–$7,473.13 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CT Abd/Pelvis w/ + w/o IV&Oral Contrast BCE $3,909.02 $11,497.12 $240.00–$7,473.13 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CHI ABD/PEL W/WO CONTRAST $3,909.02 $11,497.12 $240.00–$7,473.13 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CT Abd/Pelvis w/ + w/o IV Contrast Only $3,909.02 $11,497.12 $240.00–$7,473.13 66% Mar 17, 2025
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Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 CT ABDOMEN & PELVIS W/WO DYE $3,950.00 $7,900.00 $539.81–$7,031.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge Park Ridge, IL CT ABDOMEN & PELVIS W/WO DYE $3,950.00 $7,900.00 $539.81–$7,031.00 50% Nov 4, 2025
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Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Ct Abd & Pelv 1/> Regns $4,250.00 $4,250.00 — — Apr 1, 2026
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NorthShore University HealthSystems Skokie Hospital Skokie, IL CT Abd & Pelvis; W/O & W Contrast $4,321.85 $6,649.00 $897.62–$3,630.35 35% —
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NorthShore University HealthSystems Highland Park Hospital Highland Park, IL CT Abd & Pelvis; W/O & W Contrast $4,321.85 $6,649.00 $897.62–$3,630.35 35% —
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NorthShore University HealthSystems Glenbrook Hospital Glenview, IL CT Abd & Pelvis; W/O & W Contrast $4,321.85 $6,649.00 $897.62–$3,630.35 35% —
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NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 CT Abd & Pelvis; W/O & W Contrast $4,321.85 $6,649.00 $897.62–$3,630.35 35% —
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Advocate Sherman Hospital Elgin, IL · (847) 742-9800 CT ABDOMEN & PELVIS W/WO DYE $4,730.00 $9,460.00 $539.81–$8,514.00 50% Nov 4, 2025
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Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H CT ABD PELVIS W/WO IN ONE OR BOTH REGIONS $5,823.30 $8,319.00 $1,126.00–$8,500.00 30% —
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Ct Tom, Ab & Pel; Wo Cnt Mat 1 Or Both Bdy Rgns,Fllwd By Cnt Mat(S)&Frthr Sec 1 Or Both Bdy Rgns $6,718.00 $6,718.00 — — Apr 1, 2026
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Swedish Covenant Health Chicago, IL · (773) 878-8200 HB CT ABD & PELVIS; W/O & W CONTRAST $6,865.00 $6,865.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Evanston, IL HB CT ABD & PELVIS; W/O & W CONTRAST $6,865.00 $6,865.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Highland Park, IL HB CT ABD & PELVIS; W/O & W CONTRAST $6,865.00 $6,865.00 — — Apr 1, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb, IL · (815) 756-1521 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $1,857.63–$10,151.00 30% Apr 1, 2026
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Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $4,263.42–$10,151.00 30% Apr 1, 2026
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Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $1,624.16–$10,151.00 30% Apr 1, 2026
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Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $1,685.07–$10,151.00 30% Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $1,959.14–$10,151.00 30% Apr 1, 2026
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Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $700.42–$10,151.00 30% Apr 1, 2026
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Northwestern Medicine Valley West Hospital Sandwich, IL · (815) 786-8484 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $1,928.69–$10,151.00 30% Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB CT Abd & Pelv 1/> Regns $7,105.70 $10,151.00 $1,512.50–$10,151.00 30% Apr 1, 2026
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Uchicago Medicine Northwest Indiana Crown Point, IN · (312) 755-4706 HC CT TOM, AB & PEL; WO CNT MAT 1 OR BOTH BDY RGNS,FLLWD BY CNT MAT(S)&FRTHR SEC 1 OR BOTH BDY RGNS $7,558.00 $7,558.00 — — Apr 1, 2026
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Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Ct Tom, Ab & Pel; Wo Cnt Mat 1 Or Both Bdy Rgns,Fllwd By Cnt Mat(S)&Frthr Sec 1 Or Both Bdy Rgns $7,558.00 $7,558.00 — — Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST IN ONE OR BOTH REG $8,610.00 $8,610.00 — — Apr 1, 2026
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Edward Hospital Naperville, IL · (630) 527-3000 HC CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST IN ONE OR BOTH REG $8,610.00 $8,610.00 — — Apr 1, 2026
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The Methodist Hospitals Merrillville, IN HC CT Abd/Pelvis Any Region W/WO Contrast $8,745.10 $12,493.00 $367.29–$11,118.77 30% —
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The Methodist Hospitals Gary, IN · (219) 886-4000 HC CT Abd/Pelvis Any Region W/WO Contrast $8,745.10 $12,493.00 $367.29–$11,118.77 30% —
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Outpatient: lowest $372.00, median $4,100.00, highest $8,745.10 — a 23.5× difference within the same market.

As an inpatient, the same code is billed by 31 facilities here, median $3,950.00. 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 32 of 37 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.