Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Little Rock, AR

In Little Rock-North Little Rock-Conway, AR, 3 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $604.00 to $4,531.03, with a median of $1,298.40. The lowest listed price is at Arkansas Heart Hospital — $694.40 less than the median here. Across Arkansas, the median is $2,717.33 at 18 hospitals.

Cash prices at 3 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 Nov 21, 2025 and Nov 21, 2025.

Lowest$604.00Arkansas Heart Hospital
Median$1,298.40half pay less
Highest$4,531.03in this market
Difference7.5×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 Little Rock-North Little Rock-Conway, AR.

median
Lowest $604.00Highest $4,666.96

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Arkansas Heart Hospital lowest Little Rock, AR · (501) 219-7000 CT Abdomen and Pelvis w/ + w/o Contrast $604.00 $755.00 $377.50–$566.25 20% Nov 21, 2025
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Arkansas Heart Hospital lowest Little Rock, AR · (501) 219-7000 CT Abdomen and Pelvis w/ + w/o Contrast - Report $604.00 $755.00 $377.50–$566.25 20% Nov 21, 2025
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Arkansas Heart Hospital lowest Little Rock, AR · (501) 219-7000 CT Abdomen and Pelvis w/ + w/o Venogram $604.00 $755.00 $377.50–$566.25 20% Nov 21, 2025
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Arkansas Heart Hospital lowest Little Rock, AR · (501) 219-7000 CT Abdomen and Pelvis w/ + w/o Venogram - Report $604.00 $755.00 $377.50–$566.25 20% Nov 21, 2025
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Arkansas Heart Hospital lowest Little Rock, AR · (501) 219-7000 74178 - Ct Abd Pelvis W Wo Contrast $604.00 $755.00 $377.50–$566.25 20% Nov 21, 2025
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University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $1,298.40 $2,164.00 $272.95–$887.00 40% —
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University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 CT ABD&PLV WO CNTR FLWD CNTR $1,415.40 $2,359.00 $272.95–$887.00 40% —
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Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $4,531.03 $5,034.48 $326.18–$1,613.13 10% —
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Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 CT ABD&PLV WO CNTR FLWD CNTR $4,666.96 $5,185.51 $326.18–$1,613.13 10% —
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Outpatient: lowest $604.00, median $1,298.40, highest $4,531.03 — a 7.5× difference within the same market.

Cash or insurance?

At 0 of 3 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.