Scans and imaging CPT 74178 Inpatient — admitted to hospital

CT abdomen/pelvis with/without cost in Lexington, TN — inpatient

In Lexington, TN, 1 hospital lists a cash price for CT scan of abdomen and pelvis, without and then with contrast dye as an inpatient: from $496.32 to $496.32, with a median of $496.32. Across Tennessee, the median is $2,159.63 at 80 hospitals.

Cash prices at 1 facility for code 74178, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$496.32Houston County Community Hospital

Median$496.32half of hospitals charge less

Highest$496.32in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Houston County Community Hospital Lexington, TN · (731) 968-1801 CT-ABD PELVIS WWO source file	$496.32	$1,240.81	$305.38–$544.34	60%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Inpatient: lowest $496.32, median $496.32, highest $496.32.

As an outpatient, the same code is billed by 1 facility here, median $496.32 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.