CT of abdomen and pelvis
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the CT of abdomen and pelvis Standard Service Package (SSP RA002). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS 74178 | Facility Fee | Multidetector CT of Abdomen/Pelvis with and without Contrast |
| HCPCS Q9967 | Facility Fee | Non-ionic low osmolar contrast, 300-399mg/ml iodine concentration per ml |
| HCPCS 74178 | Professional Fee | Multidetector CT of Abdomen/Pelvis with and without Contrast |