CT abdomen/pelvis with/without cost in Paducah, KY
In Paducah, KY-IL, 2 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $1,585.80 to $8,935.98, with a median of $5,260.89. The lowest listed price is at Mercy Health Lourdes Hospital — $3,675.09 less than the median here. Across Kentucky, the median is $5,531.68 at 15 hospitals.
Cash prices at 2 facilities 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 Sep 18, 2026 and Sep 18, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Paducah, KY-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Health Lourdes Hospital lowest Paducah, KY · (270) 444-2444 HC CT Abd/Pelvis W W/O Contrast | $1,585.80 | $2,643.00 | — | 40% | — source file |
| Baptist Health Paducah Paducah, KY · (270) 575-2100 CT scan of abdomen and pelvis before and after contrast | $8,935.98 | $11,914.64 | $280.00–$23,829.28 | 25% | Sep 18, 2026 source file |
Outpatient: lowest $1,585.80, median $5,260.89, highest $8,935.98 — a 5.6× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $4,456.80. 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 the one hospital here that publishes insurer rates for this code, the cash price is 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.