CT abdomen/pelvis with/without cost in St. Louis, MO
In St. Louis, MO-IL, 11 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $351.00 to $5,628.24, with a median of $3,914.95. The lowest listed price is at Mercy Hospital Lincoln — $3,563.95 less than the median here. Across Missouri, the median is $2,924.70 at 24 hospitals.
Cash prices at 11 facilities across 9 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 —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital Lincoln lowest Troy, MO · (636) 528-8551 CT Abd Pelvis WO Cont Then W Cont Pf | $351.00 | $540.00 | $426.23–$468.85 | 35% | — source file |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 CT-ABD PELVIS WWO | $568.54 | $947.56 | $947.56 | 40% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 CT Abd Pelvis WO Cont Then W Cont | $2,499.90 | $3,846.00 | $342.80–$786.23 | 35% | — source file |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 CT ABD&PLV WO CNTR FLWD CNTR | $3,175.30 | $3,175.30 | $225.00–$714.26 | — | — source file |
| Mercy Hospital St Louis Saint Louis, MO CT Abd Pelvis WO Cont Then W Cont | $3,666.65 | $5,641.00 | $342.80–$786.23 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 CT Abd Pelvis WO Cont Then W Cont | $3,845.40 | $5,916.00 | $525.00 | 35% | — source file |
| Mercy Hospital Washington Washington, MO CT Abd Pelvis WO Cont Then W Cont | $3,914.95 | $6,023.00 | $525.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO CT Abd Pelvis WO Cont Then W Cont | $4,445.35 | $6,839.00 | $342.80–$786.23 | 35% | — source file |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC CT ABDOMEN/PELVIS W&W/O CONTR | $5,145.12 | $7,146.00 | $613.20–$7,146.00 | 28% | — source file |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC CT ABDOMEN/PELVIS W&W/O CONTR | $5,340.96 | $7,418.00 | $263.47–$7,418.00 | 28% | — source file |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC CT ABDOMEN/PELVIS W&W/O CONTR | $5,347.44 | $7,427.00 | $276.64–$7,427.00 | 28% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC CT ABDOMEN/PELVIS W&W/O CONTR | $5,628.24 | $7,817.00 | $263.47–$7,817.00 | 28% | — source file |
Outpatient: lowest $351.00, median $3,914.95, highest $5,628.24 — a 16.0× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $5,193.11. 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 6 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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.