Scans and imaging CPT 74178 Inpatient — admitted to hospital

CT abdomen/pelvis with/without cost in Clinton, IA — inpatient

In Clinton, IA, 2 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $3,022.80 to $4,070.30, with a median of $3,546.55. The lowest listed price is at MercyOne Genesis DeWitt Medical Center — $523.75 less than the median here. Across Iowa, the median is $3,022.80 at 37 hospitals.

Cash prices at 2 facilities across 2 cities for code 74178, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$3,022.80MercyOne Genesis DeWitt Medical Center
Median$3,546.55half pay less
Highest$4,070.30in this market
Difference1.3×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 Clinton, IA.

median
Lowest $3,022.80Highest $4,070.30

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 CT Abdomen/Pelvis w/wo C $3,022.80 $5,038.00 $1,712.92–$3,677.74 40% Mar 31, 2026
source file
MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 CT UROGRAM $3,022.80 $5,038.00 $1,712.92–$3,677.74 40% Mar 31, 2026
source file
MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC CT Abdomen & Pelvis W/O & W/Contrast $4,070.30 $6,262.00 $321.26–$6,262.00 35% Mar 31, 2026
source file

Inpatient: lowest $3,022.80, median $3,546.55, highest $4,070.30 — a 1.3× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $3,546.55 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.