Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 14 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $342.69 to $5,073.91, with a median of $2,840.50. The lowest listed price is at Harris Health and 1 other hospital — $2,497.81 less than the median here. Across Texas, the median is $4,135.82 at 99 hospitals.

Cash prices at 14 facilities across 9 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 5, 2026 and Sep 1, 2026.

Lowest$342.69Harris Health + 1 more
Median$2,840.50half pay less
Highest$5,073.91in this market
Difference14.8×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $342.69Highest $5,073.91

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Harris Health lowest Houston, TX COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS $342.69 $7,783.00 $350.18–$5,058.95 96% —
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Harris Health lowest Houston, TX COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS (MOD CT � MCARE ONLY) $342.69 $7,783.00 $350.18–$5,058.95 96% —
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Harris Health lowest Taub Loop Houston, TX COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS $342.69 $7,783.00 $350.18–$5,058.95 96% —
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Harris Health lowest Taub Loop Houston, TX COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS (MOD CT � MCARE ONLY) $342.69 $7,783.00 $350.18–$5,058.95 96% —
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Hsa St. Joseph LLC Houston, TX CT ABD & PELV 1/> REGNS $344.85 $7,808.57 $332.78–$490.64 96% Sep 1, 2026
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Houston Methodist Cypress Hospital Cypress, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Houston Methodist The Woodlands Hospital The Woodlands, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Methodist Sugar Land Hospital Sugar Land, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Methodist Willowbrook Hospital Houston, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Methodist West Houston Hospital Houston, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Houston Methodist Continuing Care Hospital Katy, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Houston Methodist Clear Lake Hospital Nassau Bay, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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The Methodist Hospital Houston, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Houston Methodist Baytown Hospital Baytown, TX HC CT ABDOMEN & PELVIS WO & W CONTRA $2,840.50 $5,681.00 — 50% Apr 1, 2026
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Shriners Childrens Texas Galveston, TX CT ABD&PLV WO CNTR FLWD CNTR $2,942.20 $2,942.20 $272.95–$733.15 — —
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Texas Children's Hospital Houston, TX TC CT ABDOMEN & PELVIS W/O & W CONTRAST $5,073.91 $7,573.00 $350.18–$7,194.35 33% Mar 5, 2026
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Texas Children's Hospital Houston, TX TC CT ABDOMEN & PELVIS W/O & W CONTRAST $5,073.91 $7,573.00 $350.18–$7,194.35 33% Mar 5, 2026
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Texas Children's Hospital Houston, TX TC CT ABDOMEN & PELVIS W/O & W CONTRAST $5,073.91 $7,573.00 $350.18–$7,194.35 33% Mar 5, 2026
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Outpatient: lowest $342.69, median $2,840.50, highest $5,073.91 — a 14.8× difference within the same market.

As an inpatient, the same code is billed by 12 facilities here, median $2,840.50. 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 4 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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.