CT abdomen/pelvis with/without cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 7 hospitals list a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $1,149.00 to $3,834.50, with a median of $1,149.00. The lowest listed price is at Inova Fairfax Hospital and 4 other hospitals.
Cash prices at 7 facilities across 6 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 Apr 1, 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Inova Fairfax Hospital lowest Falls Church, VA HC CT ABD-PEL WWO IV CONT | $1,149.00 | $2,298.00 | $357.13–$4,239.57 | 50% | — source file |
| Inova Alexandria Hospital lowest Alexandria, VA HC CT ABD-PEL WWO IV CONT | $1,149.00 | $2,298.00 | $357.13–$4,239.57 | 50% | — source file |
| Inova Fair Oaks Hospital lowest Fairfax, VA HC CT ABD-PEL WWO IV CONT | $1,149.00 | $2,298.00 | $357.13–$4,239.57 | 50% | — source file |
| Inova Loudoun Hospital lowest Leesburg, VA HC CT ABD-PEL WWO IV CONT | $1,149.00 | $2,298.00 | $357.13–$4,239.57 | 50% | — source file |
| Inova Mount Vernon Hospital lowest Alexandria, VA HC CT ABD-PEL WWO IV CONT | $1,149.00 | $2,298.00 | $357.13–$4,239.57 | 50% | — source file |
| Jefferson Medical Center Ranson, WV CT ABD&PLV WO CNTR FLWD CNTR | $2,012.50 | $4,025.00 | — | 50% | — source file |
| Potomac Hospital Corporation of Prince William Woodbridge, VA Chgr-Ct Abd/Pelvis W/Wo | $3,834.50 | $7,669.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $1,149.00, median $1,149.00, highest $3,834.50 — a 3.3× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $1,149.00. 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 5 of 5 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.