CPT 74178

CT/CTA - Abdomen and Pelvis

Current code53 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

See the whole procedure. This code is part of a procedure we compare in full, with every bill and what you’d pay: compare hospitals for it.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 74178 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$1,632 – $2,3806 plans$3,400$3,400
Capital Medical CenterOlympiaFile dated 2026-08-27$668 – $8,30520 plans$3,908$9,771
Cascade Medical CenterLeavenworth$482 – $2,8522 plansDoctor’s fee: $287 – $458$3,639Doctor’s fee: $366$4,549Doctor’s fee: $458
Cascade Valley HospitalArlington$476 – $5,04511 plans$4,484$5,605
Coulee Medical CenterGrand Coulee—$3,252$3,613
Deaconess Medical CenterSpokaneFile dated 2026-08-27$642 – $2,45116 plans$1,343$3,357
EvergreenHealth Medical CenterKirkland$401 – $3,52428 plans$3,031$3,789
EvergreenHealth MonroeMonroe$401 – $5,85217 plans$5,034$6,292
Harborview Medical CenterSeattleFile dated 2026-04-01$558 – $8604 plans$4,069$5,813
Highline Medical CenterBurienFile dated 2026-02-28$564 – $12,19217 plans$4,137$13,547
Island HospitalAnacortes$357 – $4,465at least 17 plans$4,700$4,700
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$618 – $1,4939 plans$3,819 – $4,243$5,455 – $6,061
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$436 – $1,57810 plans$172$265
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$690 – $3,40520 plans$1,673$4,183
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$669 – $3,05420 plans$1,673$4,183
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$669 – $3,05420 plans$1,673$4,183
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$673 – $3,05420 plans$1,673$4,183
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$642 – $2,41716 plans$1,343$3,357
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,990 – $3,5606 plans$2,848$3,560
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$446 – $3,64315 plans$1,824$3,647
PeaceHealth Peace Island Medical CenterFriday Harbor—$3,448$5,305
PeaceHealth Southwest Medical CenteVancouver$155 – $1,2556 plans$4,947 – $5,095$7,610 – $7,838
PeaceHealth St John Medical CenterLongview$166 – $2,3874 plans$5,646 – $5,816$8,686 – $8,947
PeaceHealth St Joseph Medical CenterBellingham$799 – $2,7252 plans$4,559 – $4,696$7,014 – $7,224
PeaceHealth United General Medical CenterSedro Woolley—$3,119$4,799
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$657 – $2,99514 plans$3,759 – $3,798$5,370 – $5,426
Providence Centralia HospitalCentraliaFile dated 2026-04-01$683 – $3,42711 plans$2,176$4,184
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$467 – $1,44013 plans$1,050 – $5,529$1,500 – $7,899
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$3,685$5,264
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$477 – $1,60414 plans$3,819$7,344
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$3,691$5,273
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$341 – $2,4078 plans$3,445 – $4,305$4,921 – $6,150
Providence St Peter HospitalOlympiaFile dated 2026-04-01$341 – $2,13815 plans$2,176$4,184
Seattle Children's HospitalSeattle$197 – $7,010at least 98 plansDoctor’s fee: $158 – $314$393 – $7,302$393 – $7,302Doctor’s fee: $393
Skagit Valley HospitalMount Vernon$571 – $5,92311 plans$4,988$6,235
St Anthony HospitalGig HarborFile dated 2026-02-28$564 – $10,16018 plans$4,120$13,547
St Clare HospitalLakewoodFile dated 2026-02-28$564 – $10,16018 plans$3,905$13,547
St Elizabeth HospitalEnumclawFile dated 2026-02-28$564 – $12,19217 plans$4,787$13,547
St Francis Community HospitalFederal WayFile dated 2026-02-28$564 – $10,16018 plans$4,251$13,547
St Joseph Medical CenterTacomaFile dated 2026-02-28$564 – $10,16018 plans$4,487$13,547
St Michael Medical CenterSilverdaleFile dated 2026-02-28$832 – $12,19218 plans$5,979$13,547
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$364 – $1,90916 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$608 – $1,90916 plans$672 – $1,210$1,400 – $2,521
Swedish Medical CenterSeattleFile dated 2026-04-01$606 – $1,90923 plans$672 – $1,210$1,400 – $2,521
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$606 – $1,75717 plans$672 – $1,210$1,400 – $2,521
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$673 – $3,05420 plans$1,673$4,183
Three Rivers HospitalBrewster—$2,024Doctor’s fee: $721$2,024Doctor’s fee: $721
Trios HealthKennewick——$9,496
University of Washington Medical CtrSeattleFile dated 2026-04-01$558 – $1,82413 plans$2,766$3,951
Virginia Mason Medical CenterSeattle$10.90 – $3,34210 plans$2,130$4,177
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,0271 plan——
WhidbeyHealth Medical CenterCoupeville—$247 – $5,080$247 – $5,080
Yakima Valley MemorialYakimaFile dated 2026-08-27$653 – $5,83919 plans$2,725$6,813

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$401 in an office; $401 in a hospital or surgery center
Doctor's fee, rest of Washington
$352 in an office; $352 in a hospital or surgery center
Hospital outpatient payment (national)
$356 (APC 5572)
Surgery center payment (national)
$193