Scans and imaging CPT 74178 Washington Outpatient

CT abdomen/pelvis with/without cost in Washington

In Washington, 31 hospitals publish a cash price for CT scan of abdomen and pelvis, without and then with contrast dye: from $393.00 to $5,978.98, with a median of $3,691.10. The lowest price is at Seattle Children's Hospital (Seattle). The highest price is 15.2× 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$393.00Seattle Children's Hospital
Median$3,691.10half pay less
Highest$5,978.98in Washington
Lowest saves$3,298.10vs the median

Hospitals in Washington, cheapest first

HospitalCash price List priceFile date
Seattle Children's Hospital lowest Seattle · Seattle-Tacoma-Bellevue, WA CT Abd&Pelv 1+ Section/Regns $393.00 $393.00 —
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Swedish Health Services Seattle · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $672.00 $1,400.00 Apr 1, 2026
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Swedish Health Services Issaquah · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $672.00 $1,400.00 Apr 1, 2026
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Providence Health And Services - Washington Spokane · Spokane-Spokane Valley, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $1,050.00 $1,500.00 Apr 1, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Ct Abd & Pelvis Wo/W Con $1,823.50 $3,647.00 Apr 1, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA CT ABD&PELV 1+ SECTION/REGNS - TECH $2,130.27 $4,177.00 —
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Providence Health And Services - Washington Olympia · Olympia-Lacey-Tumwater, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $2,175.68 $4,184.00 Apr 1, 2026
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Providence Health And Services - Washington Centralia · Centralia, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $2,175.68 $4,184.00 Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC CT ABD & PELVIS W/WO CONTRAST $2,510.95 $3,863.00 Apr 1, 2026
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Central Washington Health Services Association Wenatchee · Wenatchee-East Wenatchee, WA HC CT Abdomen + Pelvis W/ + W/O Contrast $2,910.60 $3,234.00 —
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $3,119.35 $4,799.00 —
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Providence Health And Services - Washington Walla Walla · Walla Walla, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $3,444.70 $4,921.00 Apr 1, 2026
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PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $3,448.25 $5,305.00 —
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Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA CT ABD&PLV WO CNTR FLWD CNTR $3,507.60 $3,507.60 —
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Providence Health And Services - Washington Colville · Spokane-Spokane Valley, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $3,684.80 $5,264.00 Apr 1, 2026
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Providence Health And Services - Washington Chewelah · Spokane-Spokane Valley, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $3,691.10 $5,273.00 Apr 1, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $3,818.50 $5,455.00 Apr 1, 2026
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Providence Health And Services - Washington Everett · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN & PELVIS W & W/O CONTRAST $3,818.88 $7,344.00 Apr 1, 2026
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Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN AND PELVIS WO W $3,904.82 $13,547.07 Feb 28, 2026
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Franciscan Health System Gig Harbor · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN AND PELVIS WO W $4,120.33 $13,547.07 Feb 28, 2026
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Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN AND PELVIS WO W $4,136.68 $13,547.07 Feb 28, 2026
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Jefferson County Public Hospital District No 2 Port Townsend · Port Townsend, WA CT scan of abdomen and pelvis before and after contrast $4,222.40 $5,278.00 Aug 6, 2026
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St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN AND PELVIS WO W $4,251.39 $13,547.07 Feb 28, 2026
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Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC CT, ABD PELVIS W W/O CONTR $4,484.00 $5,605.00 —
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Franciscan Health System Tacoma · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN AND PELVIS WO W $4,486.76 $13,547.07 Feb 28, 2026
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St. Joseph Medical Center Bellingham · Bellingham, WA CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $4,559.10 $7,014.00 —
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Enumclaw Regional Hospital Association Enumclaw · Seattle-Tacoma-Bellevue, WA HC CT ABDOMEN AND PELVIS WO W $4,787.06 $13,547.07 Feb 28, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $4,946.50 $7,610.00 —
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Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC CT, ABD PELVIS W W/O CONTR $4,988.00 $6,235.00 —
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St. John Medical Center Longview · Longview-Kelso, WA CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $5,645.90 $8,686.00 —
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Harrison Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC CT ABDOMEN AND PELVIS WO W $5,978.98 $13,547.07 Feb 28, 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
Seattle-Tacoma-Bellevue, WA 13 $393.00 $3,904.82
Spokane-Spokane Valley, WA 4 $1,050.00 $3,596.20
Mount Vernon-Anacortes, WA 2 $3,119.35 $4,053.68
Portland-Vancouver-Hillsboro, OR-WA 2 $2,510.95 $3,728.72
Bellingham, WA 1 $4,559.10 $4,559.10
Bremerton-Silverdale-Port Orchard, WA 1 $5,978.98 $5,978.98
Centralia, WA 1 $2,175.68 $2,175.68
Friday Harbor, WA 1 $3,448.25 $3,448.25
Kennewick-Richland, WA 1 $3,818.50 $3,818.50
Longview-Kelso, WA 1 $5,645.90 $5,645.90
Olympia-Lacey-Tumwater, WA 1 $2,175.68 $2,175.68
Port Townsend, WA 1 $4,222.40 $4,222.40
Walla Walla, WA 1 $3,444.70 $3,444.70
Wenatchee-East Wenatchee, WA 1 $2,910.60 $2,910.60

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.