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?