Scans and imaging CPT 74178 Inpatient — admitted to hospital

CT abdomen/pelvis with/without cost in Philadelphia, PA — inpatient

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 14 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $1,654.33 to $4,966.65, with a median of $2,526.40. The lowest listed price is at Inspira Medical Center Mannington and 3 other hospitals — $872.07 less than the median here. Across Pennsylvania, the median is $2,755.20 at 65 hospitals.

Cash prices at 14 facilities across 13 cities for code 74178, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Apr 1, 2026.

Lowest$1,654.33Inspira Medical Center Mannington + 3 more
Median$2,526.40half pay less
Highest$4,966.65in this market
Difference3.0×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $1,654.33Highest $4,966.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Inspira Medical Center Mannington lowest Salem, NJ CT ABD/PELVIS WO/W CONT $1,654.33 $1,654.33 — — Mar 24, 2026
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Inspira Health Center Woodbury lowest Woodbury, NJ CT ABD/PELVIS WO/W CONT $1,654.33 $1,654.33 — — Mar 24, 2026
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Inspira Medical Center Elmer lowest Elmer, NJ CT ABD/PELVIS WO/W CONT $1,654.33 $1,654.33 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill lowest Mullica Hill, NJ CT ABD/PELVIS WO/W CONT $1,654.33 $1,654.33 — — Mar 24, 2026
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Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Ct Abdomen/Pelvis W/Wo Contrast $2,526.40 $6,316.00 — 60% —
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Lankenau Medical Center Wynnewood, PA Hc Ct Abdomen/Pelvis W/Wo Contrast $2,526.40 $6,316.00 — 60% Apr 1, 2026
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Paoli Hospital Paoli, PA Hc Ct Abdomen/Pelvis W/Wo Contrast $2,526.40 $6,316.00 — 60% Apr 1, 2026
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Riddle Memorial Hospital Media, PA Hc Ct Abdomen/Pelvis W/Wo Contrast $2,526.40 $6,316.00 — 60% Apr 1, 2026
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The Bryn Mawr Hospital Bryn Mawr, PA Hc Ct Abdomen/Pelvis W/Wo Contrast $2,526.40 $6,316.00 — 60% —
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Nemours Children's Hospital Wilmington, DE CT Ab & Pelvis W/&W/O Cont $2,605.00 $2,605.00 — — —
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Nemours Children's Hospital Wilmington, DE CT Ab & Pelvis W/&W/O Cont $2,605.00 $2,605.00 — — —
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St Mary Medical Center Langhorne, PA HC CT Abdomen & Pelvis W/O & W/Contrast $3,056.95 $4,703.00 $300.88–$4,467.85 35% Mar 31, 2026
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St. Francis Hospital Inc Wilmington, DE HC CT Abdomen & Pelvis W/O & W/Contrast $3,892.85 $5,989.00 $363.91–$5,749.44 35% Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA HC CT Abdomen & Pelvis W/O & W/Contrast $4,377.10 $6,734.00 $286.74–$6,734.00 35% Mar 31, 2026
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Nazareth Hospital Philadelphia, PA HC CT Abdomen & Pelvis W/O & W/Contrast $4,966.65 $7,641.00 $300.88–$7,488.18 35% Mar 31, 2026
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Inpatient: lowest $1,654.33, median $2,526.40, highest $4,966.65 — a 3.0× difference within the same market.

As an outpatient, the same code is billed by 22 facilities here, median $2,526.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 4 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.