CT scan of the abdomen and pelvis, with contrast in Portland, OR-WA costs $558 to $3,329. Here's every hospital's price.
12 hospitals in the Portland-Vancouver-Hillsboro, OR-WA 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 Portland-Vancouver-Hillsboro, OR-WA metro area, 12 hospitals list a cash price for ct scan of the abdomen and pelvis, with contrast (CPT 74177). The lowest is $558 at Legacy Emanuel Medical Center, the median is $2,221 and the highest is $3,329 at Hillsboro Medical Center. The most expensive hospital lists 6.0 times the cheapest for the same code.
The Portland, OR-WA median of $2,221 is 7% above the national median of $2,080 across 547 US hospitals with a cash price for this code.
13 of these hospitals also publish the rates they negotiated with insurers, from $224 to $5,121. 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 March 2026 and July 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.
Sorted by cash price
Hospital facility fee onlyPortland · 10 mi · File Apr 2026
Portland · 11 mi · File Apr 2026
Gresham · 7 mi · File Apr 2026
Tualatin · 20 mi · File Apr 2026
Vancouver · 12 mi · File Apr 2026
Portland · 15 mi · File Apr 2026
Newberg · 30 mi · File Apr 2026
Oregon City · 18 mi · File Apr 2026
Portland · 8 mi · File Apr 2026
Milwaukie · 13 mi · File Apr 2026
Portland · 12 mi · File Mar 2026
Hillsboro · 24 mi · File Mar 2026
What's in the price
The hospital facility fee for CPT 74177. The doctor, anesthesia and lab work usually bill separately.
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.
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 Portland, OR-WA without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Adventist Health PortlandWebsite blocks automated reading
- Kaiser Foundation Hospital WestsideFile found, not read yet
- Kaiser Sunnyside Medical CenterFile found, not read yet
- Peacehealth Southwest Medical CenteWebsite blocks automated reading
- Shriners Hospital for Children - PortlandFile found, not read yet