Abdominal CT with Contrast: What It Costs and What's Fair

CPT 74177 · Medicare rate: $300 · National avg charge: $8,039 · BillKarma data from 17 providers

Reviewed 2026-04-04 · Pricing data year: 2026

Abdominal CT with Contrast (CPT 74177) is a diagnostic imaging scan that gives physicians detailed views of internal structures without surgery. It is typically ordered to evaluate an injury, disease, or condition that cannot be fully assessed through a physical exam alone. The scan usually takes 15 to 60 minutes to complete.

Cost by Billing Grade

Grade	Avg Hospital Charge	Medicare Rate	Est. Patient Cost*	Hospitals
D	$5,122	$300	$1,024	2
F	$8,428	$300	$1,686	15

*Estimated patient cost assumes 20% coinsurance after deductible is met. Actual cost depends on your specific plan, deductible status, and network.

Cost Range Across Hospitals

Min: $3,533 Max: $12,201

Grade A (≤2x Medicare) Grade B (2–3x) Grade C (3–5x) Grade D/F (5x+)

What This Procedure Typically Costs by Facility Type

Hospital

17 providers

$3,533 — $12,201 | Avg: $8,039 (26.8x Medicare)

Find Providers Near You for This Procedure

Grade A-B only

Showing 10 lowest-markup providers nationally across hospitals, surgery centers, and imaging centers. Enter ZIP code to compare local providers side by side.

Provider	Type	Location	Grade	Charge	Benchmark	Markup	Your Est. Cost
AdventHealth Ocala	Hospital	OCALA, FL	D	$3,533	$300 Medicare OPPS	11.8x	—
AdventHealth Gordon	Hospital	CALHOUN, GA	F	$5,062	$300 Medicare OPPS	16.9x	—
AdventHealth Hendersonville	Hospital	Hendersonville, NC	F	$5,083	$300 Medicare OPPS	16.9x	—
AdventHealth Rollins Brook	Hospital	LAMPASAS, TX	F	$5,654	$300 Medicare OPPS	18.8x	—
AdventHealth Heart of Florida	Hospital	Tampa, FL	F	$5,851	$300 Medicare OPPS	19.5x	—
AdventHealth East Orlando	Hospital	Orlando, FL	D	$6,711	$300 Medicare OPPS	22.3x	—
AdventHealth Daytona Beach	Hospital	Daytona Beach, FL	F	$6,952	$300 Medicare OPPS	23.2x	—
AdventHealth Lenexa	Hospital	Tampa, FL	F	$7,199	$300 Medicare OPPS	24.0x	—
AdventHealth South Overland Park	Hospital	Tampa, FL	F	$7,199	$300 Medicare OPPS	24.0x	—
AdventHealth Palm Coast	Hospital	Tampa, FL	F	$7,292	$300 Medicare OPPS	24.3x	—

What Is a Fair Price for This Procedure?

Medicare pays $300 for Abdominal CT with Contrast (CPT 74177). This rate is set by CMS based on the actual cost of delivering the procedure, including physician time, overhead, and equipment. It's the most reliable national benchmark for what the procedure is worth.

A hospital charging $601 (2x Medicare) or less earns an A billing grade — these are the most fairly priced facilities for this procedure. The national average charge is $8,039 (26.8x Medicare).

If your bill shows more than $901 (3x Medicare) for this procedure, it may be worth reviewing the charges carefully. Upload your bill to check →

Frequently Asked Questions

Why does Abdominal CT with Contrast cost so much more at some hospitals than others?

Hospital charges for Abdominal CT with Contrast (CPT 74177) vary dramatically—sometimes by 10x or more—because hospitals set their own gross charges independently. Medicare pays $300 for this procedure based on actual delivery costs, but hospitals are not required to match that rate. The national average charge is $8,039. Using a price transparency tool helps you find a fairly priced facility.

Can I shop around for Abdominal CT with Contrast if my doctor ordered it?

Yes. As long as the same CPT code (74177) is billed, the ordering physician does not need to be at the same facility that performs the scan. You can call hospitals and freestanding imaging centers to ask for their cash price or expected out-of-pocket cost before scheduling. Freestanding imaging centers typically charge significantly less than hospital outpatient departments.

What should I do if I received a bill for Abdominal CT with Contrast that seems high?

Compare the charge on your bill to the Medicare reference rate of $300. If the hospital billed more than $601 (two times Medicare), you may be able to negotiate. Request an itemized bill, check for duplicate charges, and ask whether a prompt-pay or financial hardship discount applies. You can also upload your bill to BillKarma for a free automated review.

Related Procedures

Brain MRI with Contrast · avg $2,917
MRI Brain Stem W/O Dye · avg $2,229
Chest X-Ray · avg $287

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