Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Pittsburgh, PA

In Pittsburgh, PA, 16 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $1,090.00 to $8,884.80, with a median of $5,122.25. The lowest listed price is at Uniontown Hospital — $4,032.25 less than the median here. Across Pennsylvania, the median is $2,755.20 at 65 hospitals.

Cash prices at 16 facilities across 10 cities for code 74178, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 25, 2026; the hospital files themselves were last updated between Mar 6, 2026 and Apr 14, 2026.

Lowest$1,090.00Uniontown Hospital
Median$5,122.25half pay less
Highest$8,884.80in this market
Difference8.2×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 Pittsburgh, PA.

median
Lowest $1,090.00Highest $8,884.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Uniontown Hospital lowest Uniontown, PA · (724) 430-5000 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $1,090.00 $2,180.00 $71.03–$787.87 50% —
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UPMC Washington Washington, PA · (724) 225-7000 CT ABD WO/W PELVIS WO/W $1,135.12 $1,621.60 $255.36–$1,167.55 30% —
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UPMC Washington Washington, PA · (724) 225-7000 CT ABD WO/W PELVIS WO $1,135.12 $1,621.60 $255.36–$1,167.55 30% —
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UPMC Washington Washington, PA · (724) 225-7000 CT ABD WO/W PELVIS W $1,135.12 $1,621.60 $255.36–$1,167.55 30% —
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UPMC Washington Washington, PA · (724) 225-7000 CT ABD W PELVIS WO/W $1,135.12 $1,621.60 $255.36–$1,167.55 30% —
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Uniontown Hospital Uniontown, PA · (724) 430-5000 CT ABD&PLV WO CNTR FLWD CNTR $1,221.00 $2,442.00 $71.03–$787.87 50% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT PELVIS WO & ABD W CONTST $1,915.20 $3,192.00 $858.65–$3,911.80 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT PELVIS W&W/O & ABD W CONTRA $1,915.20 $3,192.00 $858.65–$3,911.80 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT PELVIS W&W/O & ABD WO CONTR $1,915.20 $3,192.00 $858.65–$3,911.80 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT PELVIS W & ABD W&WO CONTRAS $1,915.20 $3,192.00 $858.65–$3,911.80 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT PELVIS W & ABD WO CONTRAST $1,915.20 $3,192.00 $858.65–$3,911.80 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT PELVIS WO & ABD W&WO CONTST $1,915.20 $3,192.00 $858.65–$3,911.80 40% —
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Highlands Hospital Connellsville, PA · (724) 628-1500 CT UROGRAM $2,594.40 $4,324.00 $1,457.19–$3,372.72 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 CT ABD & PELVIS W & WO CONTRAS $2,594.40 $4,324.00 $1,163.16–$5,299.06 40% —
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Highlands Hospital Connellsville, PA · (724) 628-1500 CT ABD/PELVIS W/WO $2,594.40 $4,324.00 $1,457.19–$3,372.72 40% —
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UPMC Jameson New Castle, PA · (724) 656-4100 CT ABD & PLVS W WO CONTRAST $3,337.20 $5,562.00 $292.90–$4,894.56 40% —
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AHN Wexford Hospital Wexford, PA · (412) 295-3319 HC CT ABD&PELVIS W/WO CNTRST $4,550.26 $6,149.00 $196.28–$1,141.45 26% Apr 14, 2026
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West Penn Hospital Pittsburgh, PA · (412) 578-5000 HC CT ABD&PELVIS W/WO CNTRST $4,725.29 $6,473.00 $244.45–$1,205.53 27% Apr 14, 2026
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Jefferson Regional Medical Center Jefferson Hills, PA · (412) 469-5000 HC CT ABD&PELVIS W/WO CNTRST $4,980.69 $6,149.00 $160.38–$1,125.43 19% Apr 14, 2026
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UPMC St Margaret Pittsburgh, PA · (412) 784-4000 CT ABD & PLVS W WO CONTRAST $5,263.80 $8,773.00 $293.97–$7,457.05 40% —
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UPMC Passavant - McCandless Pittsburgh, PA · (412) 367-6700 HC CT ABD & PLVS W WO CONTRAST $5,436.60 $9,061.00 $316.41–$7,701.85 40% —
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UPMC McKeesport McKeesport, PA · (412) 664-2000 CT ABD & PLVS W WO CONTRAST $5,479.20 $9,132.00 $315.59–$7,762.20 40% —
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UPMC East Monroeville, PA · (412) 357-3000 CT ABD & PLVS W WO CONTRAST $5,632.80 $9,388.00 $341.40–$7,510.40 40% —
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UPMC Mercy Pittsburgh, PA · (412) 232-8111 CT ABD & PLVS W WO CONTRAST $5,897.40 $9,829.00 $283.82–$8,846.10 40% —
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UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CT ABD & PLVS W WO CONTRAST $6,108.60 $10,181.00 $318.66–$9,366.52 40% —
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UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA · (412) 692-5325 CT ABD & PLVS W WO CONTRAST $7,689.00 $12,815.00 $340.48–$11,533.50 40% Mar 6, 2026
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UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 CT ABD & PLVS W WO CONTRAST $8,884.80 $14,808.00 $305.64–$12,586.80 40% Mar 6, 2026
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Outpatient: lowest $1,090.00, median $5,122.25, highest $8,884.80 — a 8.2× difference within the same market.

As an inpatient, the same code is billed by 15 facilities here, median $5,263.80. 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 12 of 16 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.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 74178 ($2,626.50). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Jefferson Regional Medical Center Jefferson Hills, PACHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH $50.54 file
AHN Wexford Hospital Wexford, PACHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH $69.16 file
West Penn Hospital Pittsburgh, PACHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH $71.82 file