Scans and imaging CPT 74178 Outpatient

CT abdomen/pelvis with/without cost in Sacramento, CA

In Sacramento-Roseville-Folsom, CA, 4 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $4,129.90 to $6,602.40, with a median of $6,602.40. The lowest listed price is at Shriners Childrens - Northern California — $2,472.50 less than the median here. Across California, the median is $4,472.00 at 101 hospitals.

Cash prices at 4 facilities across 2 cities 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 — and —.

Lowest$4,129.90Shriners Childrens - Northern California
Median$6,602.40half pay less
Highest$6,602.40in this market
Difference1.6×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 Sacramento-Roseville-Folsom, CA.

median
Lowest $4,129.90Highest $6,602.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Shriners Childrens - Northern California lowest Sacramento, CA · (916) 453-2000 CT ABD&PLV WO CNTR FLWD CNTR $4,129.90 $4,129.90 $100.00–$633.88 — —
source file
Kaiser Foundation Hospital - South Sacramento Sacramento, CA · (916) 688-2000 CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE $6,602.40 $11,790.00 $533.00–$1,670.00 44% —
source file
Kaiser Foundation Hospital - Sacramento Sacramento, CA · (916) 973-5000 CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE $6,602.40 $11,790.00 $533.00–$1,670.00 44% —
source file
Kaiser Foundation Hospital - Roseville Roseville, CA · (916) 784-4000 CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE $6,602.40 $11,790.00 $533.00–$1,670.00 44% —
source file

Outpatient: lowest $4,129.90, median $6,602.40, highest $6,602.40 — a 1.6× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $6,602.40. 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 0 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.