Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Huntsville, AL

In Huntsville, AL, 2 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $4,967.14 to $5,053.50, with a median of $5,010.32. The lowest listed price is at Crestwood Medical Center — $43.18 less than the median here. Across Alabama, the median is $5,010.32 at 12 hospitals.

Cash prices at 2 facilities for code 74178, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Jan 1, 2026.

Lowest$4,967.14Crestwood Medical Center
Median$5,010.32half pay less
Highest$5,053.50in 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 Huntsville, AL.

median
Lowest $4,967.14Highest $5,053.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Crestwood Medical Center lowest Huntsville, AL CT-ABD PELVIS WWO $4,967.14 $27,595.21 $300.31–$23,455.93 82% Jan 1, 2026
source file
Huntsville Hospital Huntsville, AL CT-ABD & PELVIS; WO IN REGION $5,053.50 $5,053.50 $64.69–$3,284.78 — —
source file

Outpatient: lowest $4,967.14, median $5,010.32, highest $5,053.50.

As an inpatient, the same code is billed by 2 facilities here, median $5,424.25. 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 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.