CT abdomen/pelvis with/without cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 13 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $393.00 to $4,787.06, with a median of $3,904.82. The lowest listed price is at Seattle Children's Hospital — $3,511.82 less than the median here. Across Washington, the median is $3,691.10 at 31 hospitals.
Cash prices at 13 facilities across 11 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 Feb 28, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Seattle Children's Hospital lowest Seattle, WA CT Abd&Pelv 1+ Section/Regns | $393.00 | $393.00 | $54.39–$314.40 | — | — source file |
| Swedish Health Services Seattle, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $672.00 | $1,400.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Health Services Issaquah, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $672.00 | $1,400.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Health Services Seattle, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $672.00 | $1,400.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Health Services Issaquah, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $1,210.08 | $2,521.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Health Services Seattle, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $1,210.08 | $2,521.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Health Services Seattle, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $1,210.08 | $2,521.00 | — | 52% | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue, WA Hc Ct Abd & Pelvis Wo/W Con | $1,823.50 | $3,647.00 | — | 50% | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle, WA CT ABD&PELV 1+ SECTION/REGNS - TECH | $2,130.27 | $4,177.00 | $2,506.20–$3,341.60 | 49% | — source file |
| Providence Health And Services - Washington Everett, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST | $3,818.88 | $7,344.00 | — | 48% | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood, WA HC CT ABDOMEN AND PELVIS WO W | $3,904.82 | $13,547.07 | $404.79–$10,160.31 | 71% | Feb 28, 2026 source file |
| Franciscan Health System Gig Harbor, WA HC CT ABDOMEN AND PELVIS WO W | $4,120.33 | $13,547.07 | $404.79–$10,160.31 | 70% | Feb 28, 2026 source file |
| Highline Medical Center Burien, WA HC CT ABDOMEN AND PELVIS WO W | $4,136.68 | $13,547.07 | $397.50–$12,192.37 | 69% | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way, WA HC CT ABDOMEN AND PELVIS WO W | $4,251.39 | $13,547.07 | $397.50–$10,160.31 | 69% | Feb 28, 2026 source file |
| Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA HC CT, ABD PELVIS W W/O CONTR | $4,484.00 | $5,605.00 | $357.13–$4,484.00 | 20% | — source file |
| Franciscan Health System Tacoma, WA HC CT ABDOMEN AND PELVIS WO W | $4,486.76 | $13,547.07 | $404.79–$10,160.31 | 67% | Feb 28, 2026 source file |
| Enumclaw Regional Hospital Association Enumclaw, WA HC CT ABDOMEN AND PELVIS WO W | $4,787.06 | $13,547.07 | $564.47–$12,192.37 | 65% | Feb 28, 2026 source file |
| Seattle Children's Hospital Seattle, WA CT Abdomen Pelvis W+W/O Contr | $7,302.30 | $7,302.30 | $2,993.94–$7,010.21 | — | — source file |
Outpatient: lowest $393.00, median $3,904.82, highest $4,787.06 — a 12.2× difference within the same market.
As an inpatient, the same code is billed by 13 facilities here, median $3,904.82. 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 7 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.