Scans and imaging CPT 74178 Inpatient — admitted to hospital

CT abdomen/pelvis with/without cost in Detroit, MI — inpatient

In Detroit-Warren-Dearborn, MI, 13 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $1,237.04 to $5,938.50, with a median of $5,019.75. The lowest listed price is at Henry Ford Health — $3,782.71 less than the median here. Across Michigan, the median is $2,344.80 at 60 hospitals.

Cash prices at 13 facilities across 10 cities for code 74178, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 6, 2026 and Sep 2, 2026.

Lowest$1,237.04Henry Ford Health
Median$5,019.75half pay less
Highest$5,938.50in this market
Difference4.8×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 Detroit-Warren-Dearborn, MI.

median
Lowest $1,237.04Highest $5,938.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Henry Ford Health lowest East China Township, MI CT ABD/PELVIS W/O & W/CONTRAST $1,237.04 $2,209.00 $182.90–$2,209.00 44% —
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Henry Ford Health Detroit, MI CT ABD/PELVIS W/O & W/CONTRAST $1,751.68 $3,128.00 $182.90–$3,128.00 44% —
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Henry Ford Health Novi, MI CT ABD/PELVIS W/WO CONTRAST $1,927.52 $3,442.00 $182.90–$815.63 44% —
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Henry Ford Health Southfield, MI CT ABD/PELVIS W/WO CONTRAST $1,927.52 $3,442.00 $182.90–$815.63 44% —
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Henry Ford Health Warren, MI CT UROGRAM $2,044.00 $3,650.00 $182.90–$3,650.00 44% —
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Henry Ford Health Warren, MI CT ABD/PELVIS W/O & W/CONTRAST $2,044.00 $3,650.00 $182.90–$3,650.00 44% —
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Vhs Harper-Hutzel Hospital INC Detroit, MI CT ABD & PELVIS WO/W CM $4,317.00 $5,756.00 $1.00–$624.21 25% Aug 20, 2026
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Vhs Harper-Hutzel Hospital INC Detroit, MI CT ABD & PELVIS WO/W CM $4,317.00 $5,756.00 $1.00–$624.21 25% Sep 2, 2026
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VHS Detroit Receiving Hospital Inc Detroit, MI CT ABD & PELVIS WO/W CM $5,019.75 $6,693.00 — 25% Apr 7, 2026
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Oakwood Healthcare Inc Taylor, MI Hc Ct Abd/Pelvis Wo & With Contrast $5,496.00 $5,496.00 — — —
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William Beaumont Hospital Grosse Pointe, MI Hc Ct Abd/Pelvis Wo & With Contrast $5,496.00 $5,496.00 — — —
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Oakwood Healthcare Inc Trenton, MI Hc Ct Abd/Pelvis Wo & With Contrast $5,496.00 $5,496.00 — — —
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Oakwood Healthcare Inc Wayne, MI Hc Ct Abd/Pelvis Wo & With Contrast $5,496.00 $5,496.00 — — —
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William Beaumont Hospital Troy, MI Hc Ct Abd/Pelvis Wo & With Contrast $5,496.00 $5,496.00 — — —
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VHS Childrens Hospital of Michigan Inc Detroit, MI CT ABD & PELVIS WO/W CM $5,938.50 $7,918.00 — 25% Apr 6, 2026
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Inpatient: lowest $1,237.04, median $5,019.75, highest $5,938.50 — a 4.8× difference within the same market.

As an outpatient, the same code is billed by 25 facilities here, median $1,927.52 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 of 6 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.