Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Eugene, OR

In Eugene-Springfield, OR, 4 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $2,307.50 to $7,946.18, with a median of $3,029.98. The lowest listed price is at Cottage Grove Community Medical Ct and 1 other hospital — $722.48 less than the median here. Across Oregon, the median is $2,666.25 at 38 hospitals.

Cash prices at 4 facilities across 3 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 Sep 17, 2026 and Sep 17, 2026.

Lowest$2,307.50Cottage Grove Community Medical Ct + 1 more
Median$3,029.98half pay less
Highest$7,946.18in this market
Difference3.4×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 Eugene-Springfield, OR.

median
Lowest $2,307.50Highest $7,946.18

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Cottage Grove Community Medical Ct lowest Cottage Grove, OR CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $2,307.50 $3,550.00 — 35% —
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Peace Harbor Medical Center lowest Florence, OR CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $2,307.50 $3,550.00 — 35% —
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Sacred Heart-Riverbend Springfield, OR CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $3,752.45 $5,773.00 $309.86–$1,708.55 35% —
source file
Sacred Heart-Riverbend Springfield, OR CT ABD&PLV WO CNTR FLWD CNTR $3,864.90 $5,946.00 $309.86–$1,708.55 35% —
source file
McKenzie Willamette Regional Medical Center Associates LLC Springfield, OR CT scan of abdomen and pelvis before and after contrast $7,946.18 $13,243.63 $768.46–$35,757.80 40% Sep 17, 2026
source file

Outpatient: lowest $2,307.50, median $3,029.98, highest $7,946.18 — a 3.4× difference within the same market.

Cash or insurance?

At 1 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.