Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Fort Smith, AR

In Fort Smith, AR-OK, 1 hospital lists a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $3,849.95 to $3,849.95, with a median of $3,849.95. Across Arkansas, the median is $2,717.33 at 18 hospitals.

Cash prices at 1 facility 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 — and —.

Lowest$3,849.95Mercy Hospital Fort Smith
Median$3,849.95half pay less
Highest$3,849.95in this market
Difference1.0×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 Fort Smith, AR-OK.

median
Lowest $3,849.95Highest $3,849.95

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital Fort Smith lowest Fort Smith, AR · (479) 314-6000 CT Abd Pelvis WO Cont Then W Cont $3,849.95 $5,923.00 $1,700.00 35% —
source file
Mercy Hospital Fort Smith lowest Fort Smith, AR · (479) 314-6000 CT Abd Pelvis WO Cont Then W Cont $3,849.95 $5,923.00 $1,700.00 35% —
source file

Outpatient: lowest $3,849.95, median $3,849.95, highest $3,849.95.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.