Scans and imaging CPT 74178 Inpatient — admitted to hospital

CT abdomen/pelvis with/without cost in Rapid City, SD — inpatient

In Rapid City, SD, 1 hospital lists a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $338.80 to $338.80, with a median of $338.80. Across South Dakota, the median is $4,901.20 at 8 hospitals.

Cash prices at 1 facility for code 74178, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$338.80Black Hills Surgical Hospital
Median$338.80half pay less
Highest$338.80in this market
Difference1.0×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 Rapid City, SD.

median
Lowest $338.80Highest $1,355.18

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Black Hills Surgical Hospital lowest Rapid City, SD · (605) 721-4700 PC CT ABDOMEN/PELVIS WO CON FOL BY W/ C $338.80 $564.66 $328.00–$564.66 40% —
source file
Black Hills Surgical Hospital Rapid City, SD · (605) 721-4700 CT UROGRAM $1,029.30 $1,715.50 $349.30–$1,543.95 40% —
source file
Black Hills Surgical Hospital Rapid City, SD · (605) 721-4700 CT ABDOMEN/PELVIS WO/W CONTRAST $1,355.18 $2,258.64 $328.00–$2,032.78 40% —
source file

Inpatient: lowest $338.80, median $338.80, highest $338.80.

As an outpatient, the same code is billed by 1 facility here, median $338.80 — that is the price to compare if you are not being admitted.

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.

1 row held back from this comparison

It is 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.

Black Hills Surgical Hospital Rapid City, SDPC CT UROGRAM $163.56 file