Scans and imaging CPT 74178 Virginia Outpatient

CT abdomen/pelvis with/without cost in Virginia

In Virginia, 37 hospitals publish a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $576.61 to $7,005.53, with a median of $3,416.00. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 12.1× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 74178. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$576.61Dickenson Community Hospital + 1 more
Median$3,416.00half pay less
Highest$7,005.53in Virginia
Lowest saves$2,839.39vs the median

Hospitals in Virginia, cheapest first

HospitalCash price List priceFile date
Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC CT ABD/PEL WOW CON $576.61 $2,507.00 Mar 23, 2026
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Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC CT ABD/PEL WOW CON $576.61 $2,507.00 Mar 23, 2026
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Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC CT ABD/PEL WOW CON $587.70 $3,918.00 Mar 23, 2026
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Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC CT ABD/PEL WOW CON $587.70 $3,918.00 —
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Russell County Hospital Lebanon · Lebanon, VA HC CT ABD/PEL WOW CON $587.70 $3,918.00 Mar 23, 2026
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Smyth County Community Hospital Marion · Marion, VA HC CT ABD/PEL WOW CON $587.70 $3,918.00 —
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Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC CT Abd/Pelvis W W/O Contrast $898.50 $2,995.00 —
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Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CT ABD-PEL WWO IV CONT $1,149.00 $2,298.00 —
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Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CT ABD-PEL WWO IV CONT $1,149.00 $2,298.00 —
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Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CT ABD-PEL WWO IV CONT $1,149.00 $2,298.00 —
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Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CT ABD-PEL WWO IV CONT $1,149.00 $2,298.00 —
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Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CT ABD-PEL WWO IV CONT $1,149.00 $2,298.00 —
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Augusta Health Fishersville · Staunton-Stuarts Draft, VA Ct Abdomen Pelvis W/Wo Contras $1,681.00 $3,362.00 Apr 1, 2026
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Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC CT Abd/Pelvis W W/O Contrast $2,065.80 $3,443.00 —
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Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgr-Ct Abd/Pelvis W/Wo $2,259.00 $4,518.00 Apr 1, 2026
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Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Ct Abd/Pelvis W W/O Contrast $2,953.33 $4,922.21 —
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Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Chgr-Ct Abd/Pelvis W/Wo $3,108.00 $6,216.00 Apr 1, 2026
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Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Chgr-Ct Abd/Pelvis W/Wo $3,108.00 $6,216.00 Apr 1, 2026
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Sovah Health - Danville Danville · Danville, VA Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions $3,416.00 $8,540.00 —
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Sovah Health - Martinsville Martinsville · Martinsville, VA Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions $3,416.00 $8,540.00 —
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Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC CT Abd/Pelvis W W/O Contrast $3,493.80 $5,823.00 —
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Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC CT Abd/Pelvis W W/O Contrast $3,493.80 $5,823.00 —
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Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC CT Abd/Pelvis W W/O Contrast $3,493.80 $5,823.00 —
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Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC CT Abd/Pelvis W W/O Contrast $3,493.80 $5,823.00 —
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Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 —
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Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 Apr 1, 2026
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Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 Apr 1, 2026
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Sentara Obici Hospital Suffolk · Suffolk, VA Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Ct Abd/Pelvis W/Wo $3,834.50 $7,669.00 Apr 1, 2026
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Bon Secours Southside Medical Center Petersburg · Richmond, VA HC CT Abd/Pelvis W W/O Contrast $4,098.90 $13,663.00 —
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Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC CT Abd/Pelvis W W/O Contrast $4,374.00 $7,290.00 —
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Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC CT Abd/Pelvis W W/O Contrast $4,374.00 $7,290.00 —
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC CT Abd/Pelvis W W/O Contrast $4,374.00 $7,290.00 —
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Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC CT Abd/Pelvis W W/O Contrast $6,916.20 $23,054.00 —
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Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC CT ABDOM&PELVIS W/WO $7,005.53 $7,783.92 Mar 17, 2026
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Virginia Beach-Chesapeake-Norfolk, VA-NC 10 $2,953.33 $3,834.50
Washington-Arlington-Alexandria, DC-VA-MD-WV 6 $1,149.00 $1,149.00
Richmond, VA 5 $3,493.80 $3,493.80
Big Stone Gap, VA 1 $587.70 $587.70
Clintwood, VA 1 $576.61 $576.61
Charlottesville, VA 1 $3,108.00 $3,108.00
Danville, VA 1 $3,416.00 $3,416.00
Emporia, VA 1 $6,916.20 $6,916.20
Harrisonburg, VA 1 $3,108.00 $3,108.00
Kilmarnock, VA 1 $2,065.80 $2,065.80
Kingsport-Bristol, TN-VA 1 $587.70 $587.70
Lebanon, VA 1 $587.70 $587.70
Marion, VA 1 $587.70 $587.70
Martinsville, VA 1 $3,416.00 $3,416.00
Pennington Gap, VA 1 $576.61 $576.61
Roanoke, VA 1 $898.50 $898.50
South Boston, VA 1 $2,259.00 $2,259.00
Suffolk, VA 1 $3,834.50 $3,834.50
Staunton-Stuarts Draft, VA 1 $1,681.00 $1,681.00

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.

CT scan of abdomen and pelvis, without and then with contrast dye in other states

Median cash price across the state's hospitals.