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PricedCare

CT scan of the abdomen and pelvis, with contrast in Lexington, KY costs $1,607 to $5,456. Here's every hospital's price.

3 hospitals in the Lexington-Fayette, KY metro area publish a cash price for ct scan of the abdomen and pelvis, with contrast (CPT 74177). We read their files every month so you don't have to.

Across the Lexington-Fayette, KY metro area, 3 hospitals list a cash price for ct scan of the abdomen and pelvis, with contrast (CPT 74177). The lowest is $1,607 at Saint Joseph East, the median is $1,884 and the highest is $5,456 at Baptist Health Lexington. The most expensive hospital lists 3.4 times the cheapest for the same code.

The Lexington, KY median of $1,884 is 12% below the national median of $2,135 across 1370 US hospitals with a cash price for this code.

3 of these hospitals also publish the rates they negotiated with insurers, from $233 to $14,789. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between February 2026 and September 2026. 5 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$1,607
lowest cash price in Lexington, KY
Saint Joseph East · 7 mi
$278 below the median
$1,884
median cash price
3 hospitals
3.4×
highest ÷ lowest
same procedure, same metro
3/8
hospitals with a cash price
5 don't · see who

Sorted by cash price

Hospital facility fee only
1
Saint Joseph East

Lexington · 7 mi · File Feb 2026

$1,607
list $4,000 · lowest of 2 lines
2
Saint Joseph Hospital

Lexington · 7 mi · File Feb 2026

$1,884
list $4,000 · lowest of 2 lines
3
Baptist Health Lexington

Lexington · 7 mi · File Sep 2026

$5,456
list $7,274
1

What's in the price

The hospital facility fee for CPT 74177. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 74177, in writing, and whether it covers facility, physician and anesthesia."

About ct scan of the abdomen and pelvis, with contrast

CPT 74177 is a CT of the abdomen and pelvis with intravenous contrast, scanned in one pass. It is the workhorse of emergency and outpatient imaging: appendicitis, kidney stones with infection, unexplained abdominal pain, cancer staging and follow-up. It takes about 10 minutes plus preparation.

What the price covers

The hospital's price is the technical fee for the scanner, technologist, IV contrast and room. The radiologist's reading is billed separately. Oral contrast, if used, may be a separate line. If the scan is done in the emergency department, ED facility charges are added on top.

Why prices vary

This is one of the most expensive routine scans and one of the most variable. Hospital main campuses often list several times what their own outpatient imaging centers list, and freestanding imaging centers are cheaper still. Cash prices at hospitals are often below the insurer-negotiated rate.

Questions to ask

  • What is the self-pay price for 74177 including IV contrast?
  • What does the radiologist reading cost?
  • Is a non-contrast study (74176) acceptable for what my doctor needs?
  • What is the price at your outpatient imaging location?

Hospitals in Lexington, KY without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask