74170

Ct scan of abdomen before and after contrast

Medicare pricing data for 22,563 providers across 52 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $623.64 but Medicare allows only $120.67. Uninsured patients may face bills 5.2 times higher than what insurance negotiates. Prices vary significantly by location — from $71 in West Virginia to $186 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Ct scan of abdomen before and after contrast (HCPCS code 74170) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $120.67, but hospitals typically charge $623.64 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $120.67, your out-of-pocket cost would be approximately $24.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$120.67
Average Hospital Charge
$623.64
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$623.64
Medicare Allowed$120.67
Medicare Payment$90.54

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $90.54 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$186$2733453+54.4%
Maryland$176$7264241,733+45.5%
New Jersey$172$8455161,745+42.5%
California$166$7971,97810,134+37.4%
Alaska$163$1,37457240+34.9%
Florida$154$7941,4276,993+28.0%
Arizona$152$7803911,936+26.0%
New York$152$7011,1755,677+25.8%
Nevada$148$735188845+22.7%
District of Columbia$145$74760210+20.2%
Wyoming$142$99643279+17.9%
Rhode Island$140$601109777+16.3%
Connecticut$132$6142821,039+9.5%
Hawaii$131$56770221+8.9%
Colorado$130$5744081,572+7.4%
Virginia$126$7035953,579+4.1%
Texas$124$7401,7029,024+3.0%
New Mexico$124$719118567+2.7%
Washington$123$5465772,511+1.9%
Delaware$117$49976442-3.1%
Utah$117$468119278-3.2%
South Dakota$116$528109479-4.1%
Tennessee$112$6236413,439-6.9%
North Carolina$110$5898524,990-9.0%
Iowa$108$466234928-10.5%
Nebraska$107$513180873-11.0%
Minnesota$104$5636502,123-14.1%
Oregon$103$4203401,989-14.6%
Kansas$103$4112811,533-14.6%
Alabama$103$3814522,385-14.9%
South Carolina$102$6434613,707-15.8%
Illinois$100$5839624,258-16.9%
Kentucky$100$4172741,543-17.0%
Arkansas$100$4052751,242-17.3%
Massachusetts$99$4235482,260-18.0%
Missouri$98$5205172,414-18.6%
Mississippi$97$7322371,385-20.0%
Indiana$95$4494632,028-21.0%
Georgia$95$5186862,576-21.2%
Louisiana$95$4923571,651-21.7%
Montana$92$35864281-23.7%
Idaho$92$419121477-24.1%
Pennsylvania$91$4539603,317-25.0%
New Hampshire$88$700130552-27.0%
Ohio$86$4687042,304-28.8%
Wisconsin$85$9754952,144-29.6%
Oklahoma$83$410240976-31.4%
North Dakota$80$36667208-33.3%
Michigan$80$3606503,062-33.4%
Maine$77$32787227-36.2%
Vermont$77$41332189-36.3%
West Virginia$71$342121406-41.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber