Scans and imaging CPT 74178 Inpatient — admitted to hospital

CT abdomen/pelvis with/without cost in San Diego, CA — inpatient

In San Diego-Chula Vista-Carlsbad, CA, 8 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $3,310.45 to $5,337.00, with a median of $4,904.50. The lowest listed price is at UC San Diego Medical Center — $1,594.05 less than the median here. Across California, the median is $4,472.00 at 101 hospitals.

Cash prices at 8 facilities across 5 cities for code 74178, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$3,310.45UC San Diego Medical Center
Median$4,904.50half pay less
Highest$5,337.00in 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 San Diego-Chula Vista-Carlsbad, CA.

median
Lowest $3,310.45Highest $5,337.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UC San Diego Medical Center lowest San Diego, CA CT Scan Of Abdomen And Pelvis Before And After Contrast $3,310.45 $6,019.00 $319.24–$8,125.65 45% Apr 1, 2026
source file
Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego, CA CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE $4,472.00 $8,600.00 $350.00–$1,040.00 48% —
source file
Kaiser Foundation Hospital - San Diego - Zion San Diego, CA CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE $4,472.00 $8,600.00 $350.00–$1,040.00 48% —
source file
Kaiser Foundation Hospital - San Marcos San Marcos, CA CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE $4,472.00 $8,600.00 $350.00–$1,040.00 48% —
source file
Sharp Coronado Hospital and Healthcare Center Coronado, CA HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST $5,337.00 $7,116.00 $1,067.40–$5,692.80 25% —
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Sharp Memorial Hospital San Diego, CA HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST $5,337.00 $7,116.00 $1,067.40–$5,835.12 25% —
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Sharp Chula Vista Medical Center Chula Vista, CA HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST $5,337.00 $7,116.00 $449.73–$6,404.40 25% —
source file
Grossmont Hospital Corporation La Mesa, CA HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST $5,337.00 $7,116.00 $1,067.40–$6,973.68 25% —
source file

Inpatient: lowest $3,310.45, median $4,904.50, highest $5,337.00 — a 1.6× difference within the same market.

As an outpatient, the same code is billed by 9 facilities here, median $4,472.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 5 of 8 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.