Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Kansas City, MO

In Kansas City, MO-KS, 4 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $347.00 to $9,436.55, with a median of $895.46. The lowest listed price is at St Joseph Medical Center — $548.46 less than the median here. Across Missouri, the median is $2,924.70 at 24 hospitals.

Cash prices at 4 facilities across 4 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 6, 2026 and Apr 1, 2026.

Lowest$347.00St Joseph Medical Center
Median$895.46half pay less
Highest$9,436.55in this market
Difference27.2×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 Kansas City, MO-KS.

median
Lowest $347.00Highest $9,436.55

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Joseph Medical Center lowest Kansas City, MO · (816) 942-4400 Hc Ct Scan Abdomen/Pelvis Combo $347.00 $7,919.10 $206.69–$7,919.10 96% Mar 17, 2026
source file
Mish Lenexa, KS CT Abdomen + Pelvis w/ + w/o Contrast $550.00 $7,500.00 — 93% —
source file
NKC Health North Kansas City, MO · (816) 691-2000 CT Abd Pelv w wo Contrast $1,240.91 $4,279.00 $311.43–$3,500.22 71% Mar 6, 2026
source file
NKC Health North Kansas City, MO · (816) 691-2000 CT Abd w wo Pel w Contrast $1,240.91 $4,279.00 $311.43–$3,500.22 71% Mar 6, 2026
source file
NKC Health North Kansas City, MO · (816) 691-2000 CT Abd w wo Pel w contrast $1,240.91 $4,279.00 $311.43–$3,500.22 71% Mar 6, 2026
source file
NKC Health North Kansas City, MO · (816) 691-2000 CT Abd Pel w wo Contrast $1,240.91 $4,279.00 $311.43–$3,500.22 71% Mar 6, 2026
source file
AdventHealth South Overland Park Overland Park, KS · (913) 373-2000 HC CT SCAN,ABDOMEN AND PELVIS,COMBO $9,436.55 $9,436.55 — — Apr 1, 2026
source file

Outpatient: lowest $347.00, median $895.46, highest $9,436.55 — a 27.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $1,240.91. 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 2 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.