Abdomen and pelvis CT scan with and without contrast

CT scan of abdomen and pelvis before and after contrast

Radiology ServicesCPT 74178

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

All hospitals we cover so far are in Washington; other states will appear here to compare as we add them.

Price estimate: Medicare Advantage

Typical Medicare Advantage rate$417middle of 43 hospitals

Lowest hospital$375

Highest hospital$2,630

Typical cash price$3,32638 hospitals

Typical range: $411 to $429. The middle half of the 43 hospitals we cover that list a Medicare Advantage rate for this procedure. Each hospital below is labeled lower than, within or higher than this range.

Each hospital’s figure is the middle of the rates it lists, one per plan. Hospitals that list several separate lines for one plan or for their cash price are shown with their range and left out of these figures: the lines may be parts of one bill that you pay together. This is what hospitals published, not a quote.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill.

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Three questions turn each hospital’s Medicare Advantage rate into your share. Nothing you enter leaves your browser.

A rough estimate, not a quote. It leaves out copays, separate bills (such as the doctor or anesthesia), and whether a hospital is in your plan’s network. Your insurer can tell you your real cost.

Compare hospitals

52 hospitals with a Medicare Advantage rate, cash price or list price; 44 of them list Medicare Advantage rates. Lowest Medicare Advantage rate first.

Prices for Abdomen and pelvis CT scan with and without contrast at the hospitals we cover. Negotiated rates are for Medicare Advantage.
Hospital	Quality (CMS)	Medicare Advantage rate (middle of plans)	Compared with typical	Cash price	List price (before discounts)
Cascade Valley HospitalArlington, WA(360) 435-2133	4 of 5	$375Middle of 3 plans; each plan sets its own price: $357 – $375	Lower than typical	$4,484	$5,605
Skagit Valley HospitalMount Vernon, WA(360) 424-4111	3 of 5	$375Middle of 4 plans; each plan sets its own price: $357 – $375	Lower than typical	$4,988	$6,235
Deaconess Medical CenterSpokane, WA(509) 473-5800	3 of 5	$394Middle of 8 plans; each plan sets its own price: $381 – $419	Lower than typical	$1,343	$3,357
MultiCare Valley HospitalSpokane Valley, WA(509) 924-6650	5 of 5	$396Middle of 7 plans; each plan sets its own price: $392 – $419	Lower than typical	$1,343	$3,357
PeaceHealth Southwest Medical CenteVancouver, WA(360) 256-2000	3 of 5	$406Middle of 13 plans; each plan sets its own price: $387 – $445	Lower than typical	$4,947 – $5,0952 separate lines; open the hospital to see each one	$7,610 – $7,8382 separate lines; open the hospital to see each one
Providence St Mary Medical CenterWalla Walla, WA(509) 522-5900	3 of 5	$406Middle of 6 plans; each plan sets its own price: $389 – $428	Lower than typical	$3,445 – $4,3052 separate lines; open the hospital to see each one	$4,921 – $6,1502 separate lines; open the hospital to see each one
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane, WA(509) 474-3131	3 of 5	$408Middle of 7 plans; each plan sets its own price: $389 – $467	Lower than typical	$3,759 – $3,7982 separate lines; open the hospital to see each one	$5,370 – $5,4262 separate lines; open the hospital to see each one
MultiCare Auburn Medical CenterAuburn, WA(253) 833-7711	2 of 5	$409Middle of 7 plans; each plan sets its own price: $397 – $437	Lower than typical	$1,673	$4,183
EvergreenHealth MonroeMonroe, WA(360) 794-7497	3 of 5	$409Middle of 5 plans; each plan sets its own price: $409 – $417	Lower than typical	$5,034	$6,292
Highline Medical CenterBurien, WA(206) 431-5237	4 of 5	$409Middle of 11 plans; each plan sets its own price: $398 – $457	Lower than typical	$4,137	$13,547
Capital Medical CenterOlympia, WA(360) 956-2550	3 of 5	$410Middle of 6 plans; each plan sets its own price: $396 – $436	Lower than typical	$3,908	$9,771
Harborview Medical CenterSeattle, WA(206) 744-9535	2 of 5	$412Middle of 5 plans; each plan sets its own price: $404 – $444	Typical	$4,069	$5,813
University of Washington Medical CtrSeattle, WA(206) 598-3300	4 of 5	$412Middle of 5 plans; each plan sets its own price: $404 – $444	Typical	$2,766	$3,951
MultiCare Covington Medical CenterCovington, WA(253) 372-7400	3 of 5	$413Middle of 7 plans; each plan sets its own price: $397 – $437	Typical	$1,673	$4,183
Mary Bridge Children's HospitalTacoma, WA(253) 403-1400	Not rated by CMS	$415Middle of 7 plans; each plan sets its own price: $399 – $439	Typical	$1,673	$4,183
MultiCare Good Samaritan HospitalPuyallup, WA(253) 697-2102	2 of 5	$415Middle of 7 plans; each plan sets its own price: $399 – $439	Typical	$1,673	$4,183
Tacoma General Allenmore HospitalTacoma, WA(253) 403-1000	2 of 5	$415Middle of 7 plans; each plan sets its own price: $399 – $439	Typical	$1,673	$4,183
Providence Regional Medical Center EverettEverett, WA(425) 261-2000	4 of 5	$415Middle of 6 plans; each plan sets its own price: $397 – $437	Typical	$3,819	$7,344
Kadlec Regional Medical CenterRichland, WA(509) 946-4611	4 of 5	$416Middle of 7 plans; each plan sets its own price: $389 – $467	Typical	$3,819 – $4,2432 separate lines; open the hospital to see each one	$5,455 – $6,0612 separate lines; open the hospital to see each one
Legacy Salmon Creek Medical CenterVancouver, WA(360) 487-1000	4 of 5	$416Middle of 6 plans; each plan sets its own price: $400 – $435	Typical	$172	$265
Providence Holy Family HospitalSpokane, WA(509) 482-0111	3 of 5	$416Middle of 5 plans; each plan sets its own price: $389 – $428	Typical	$1,050 – $5,5292 separate lines; open the hospital to see each one	$1,500 – $7,8992 separate lines; open the hospital to see each one
EvergreenHealth Medical CenterKirkland, WA(425) 899-1000	5 of 5	$417Middle of 5 plans; each plan sets its own price: $417 – $425	Typical	$3,031	$3,789
Overlake Hospital Medical Center & ClinicsBellevue, WA(425) 688-5000	2 of 5	$417Middle of 3 plans; each plan sets its own price: $405 – $421	Typical	$1,824	$3,647
St Francis Community HospitalFederal Way, WA(253) 944-8100	4 of 5	$417Middle of 12 plans; each plan sets its own price: $398 – $457	Typical	$4,251	$13,547
Swedish Edmonds HospitalEdmonds, WA(425) 640-4000	3 of 5	$419Middle of 8 plans; each plan sets its own price: $397 – $477	Typical	Not published	Not published
St Anthony HospitalGig Harbor, WA(253) 530-2050	5 of 5	$425Middle of 12 plans; each plan sets its own price: $405 – $466	Typical	$4,120	$13,547
St Clare HospitalLakewood, WA(253) 588-1711	4 of 5	$425Middle of 12 plans; each plan sets its own price: $405 – $466	Typical	$3,905	$13,547
St Joseph Medical CenterTacoma, WA(253) 627-4101	3 of 5	$425Middle of 12 plans; each plan sets its own price: $405 – $466	Typical	$4,487	$13,547
Swedish Medical CenterSeattle, WA(206) 386-6000	4 of 5	$426Middle of 8 plans; each plan sets its own price: $404 – $485	Typical	$672 – $1,2102 separate lines; open the hospital to see each one	$1,400 – $2,5212 separate lines; open the hospital to see each one
Swedish Medical Center / Cherry HillSeattle, WA(206) 320-2000	4 of 5	$426Middle of 8 plans; each plan sets its own price: $404 – $485	Typical	$672 – $1,2102 separate lines; open the hospital to see each one	$1,400 – $2,5212 separate lines; open the hospital to see each one
Swedish IssaquahIssaquah, WA(425) 313-4000	4 of 5	$427Middle of 8 plans; each plan sets its own price: $405 – $486	Typical	$672 – $1,2102 separate lines; open the hospital to see each one	$1,400 – $2,5212 separate lines; open the hospital to see each one
Yakima Valley MemorialYakima, WA(509) 575-8000	1 of 5	$428Middle of 8 plans; each plan sets its own price: $408 – $457	Typical	$2,725	$6,813
St Michael Medical CenterSilverdale, WA(360) 377-3911	4 of 5	$429Middle of 10 plans; each plan sets its own price: $416 – $455	Higher than typical	$5,979	$13,547
Providence St Peter HospitalOlympia, WA(360) 493-7179	3 of 5	$429Middle of 7 plans; each plan sets its own price: $401 – $642	Higher than typical	$2,176	$4,184
Providence Centralia HospitalCentralia, WA(360) 330-8530	3 of 5	$432Middle of 7 plans; each plan sets its own price: $404 – $646	Higher than typical	$2,176	$4,184
PeaceHealth St Joseph Medical CenterBellingham, WA(360) 734-5400	4 of 5	$435Middle of 8 plans; each plan sets its own price: $414 – $456	Higher than typical	$4,559 – $4,6962 separate lines; open the hospital to see each one	$7,014 – $7,2242 separate lines; open the hospital to see each one
PeaceHealth St John Medical CenterLongview, WA(360) 414-2000	4 of 5	$436Middle of 14 plans; each plan sets its own price: $324 – $456Some plan prices here are below what Medicare pays; open the hospital to see which	Higher than typical	$5,646 – $5,8162 separate lines; open the hospital to see each one	$8,686 – $8,9472 separate lines; open the hospital to see each one
Island HospitalAnacortes, WA(360) 299-1300	4 of 5	$437Middle of 11 plans; each plan sets its own price: $416 – $441	Higher than typical	$4,700	$4,700
Trios HealthKennewick, WA(509) 586-6111	2 of 5	$464	Higher than typical	Not published	$9,496
Olympic Medical CenterPort Angeles, WA(360) 417-7000	3 of 5	$479Middle of 5 plans; each plan sets its own price: $437 – $562	Higher than typical	$2,848	$3,560
BHC Fairfax HospitalKirkland, WA(425) 821-2000	Not rated by CMS	$2,040	Higher than typical	$3,400	$3,400
St Elizabeth HospitalEnumclaw, WA(360) 825-2505	5 of 5	$2,536Middle of 12 plans; each plan sets its own price: $2,438 – $2,980	Higher than typical	$4,787	$13,547
Cascade Medical CenterLeavenworth, WA(509) 548-5815	Not rated by CMS	$2,736Middle of 7 plans; each plan sets its own price: $2,647 – $4,186Includes the radiologist’s fee the hospital lists	Higher than typical	$4,006Includes the radiologist’s fee the hospital lists	$5,007Includes the radiologist’s fee the hospital lists
Coulee Medical CenterGrand Coulee, WA(509) 633-1753	Not rated by CMS	Not published	—	$3,252	$3,613
PeaceHealth Peace Island Medical CenterFriday Harbor, WA(360) 378-2141	Not rated by CMS	Not published	—	$3,448	$5,305
PeaceHealth United General Medical CenterSedro Woolley, WA(360) 856-6021	3 of 5	Not published	—	$3,119	$4,799
Providence Mount Carmel HospitalColville, WA(509) 684-2561	3 of 5	Not published	—	$3,685	$5,264
Providence St Joseph HospitalChewelah, WA(509) 935-8211	Not rated by CMS	Not published	—	$3,691	$5,273
Seattle Children's HospitalSeattle, WA(206) 987-2000	Not rated by CMS	Not published	—	$393 – $7,3022 separate lines; open the hospital to see each one	$393 – $7,3023 separate lines; open the hospital to see each one
Three Rivers HospitalBrewster, WA(509) 689-2517	Not rated by CMS	Not published	—	$2,745Includes the radiologist’s fee the hospital lists	$2,745Includes the radiologist’s fee the hospital lists
Virginia Mason Medical CenterSeattle, WA(206) 223-6600	5 of 5	$272 – $40814 separate lines; open the hospital to see each oneSome lines are below what Medicare pays for the whole service	Not compared: several separate lines	$2,130	$4,177
WhidbeyHealth Medical CenterCoupeville, WA(360) 678-5151	2 of 5	Not published	—	$247 – $5,0803 separate lines; open the hospital to see each one	$247 – $5,0803 separate lines; open the hospital to see each one

Reading these prices

A higher price does not mean better care. Quality stars come from CMS and are shown separately; they don’t go into the price labels.
A hospital can list several rates for the same procedure, one per plan; we show the middle of them. When one plan, or the cash price, has several separate lines, they may be parts of one bill (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We show their range, don’t compare them yet, and list every line on the hospital’s page.
A very low rate can be one line item (for example, a supply charge), not the whole procedure.
Not published means the hospital’s own price file has no price of that kind for this service (some list insurer rates but leave the cash or list price blank). If you’re uninsured or paying yourself, ask the hospital for a Good Faith Estimate; federal law (No Surprises Act) requires one when you schedule or ask.

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Doctors and practices

Doctors, independent practices, labs and centers in Washington that billed Traditional Medicare for Abdomen and pelvis CT scan with and without contrast, most Medicare services first. Doctors with no hospital affiliation are included.

All doctors and practices who billed Traditional Medicare for Abdomen and pelvis CT scan with and without contrast
Doctor or practice	Practice	Hospital affiliations	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Patrick Wright, DODiagnostic Radiology · Lynnwood	Not on file	None on file	86 of 100CMS MIPS 2024, reported by their group	165	$385 in the office
Matthew ShutskeDiagnostic Radiology · Silverdale	Central Illinois Radiological Associates LTDGroup of 209 clinicians	None on file	Not rated	164	$346 in the office
Philip Smith, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence St Mary Medical Centerand 1 other hospital	Not rated	119	$99.29 at a hospital or surgery center$233 in the office
David Tu Nguyen, DODiagnostic Radiology · Tacoma	Reono Bertagnolli A Medical GroupGroup of 47 clinicians	None on file	94 of 100CMS MIPS 2024, reported by their group	93	$92.43 at a hospital or surgery center$92.57 in the office
Irene Cruite, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence St Mary Medical Centerand 1 other hospital	Not rated	90	$90.87 at a hospital or surgery center$363 in the office
Paul Craig, MDDiagnostic Radiology · Spokane	Jefferson County Public Hospital District No 2Group of 147 clinicians	Island HospitalSkagit Valley HospitalWhidbeyHealth Medical Center	Not rated	90	$94.69 at a hospital or surgery center
Gregory Kujawski, DODiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence St Mary Medical Centerand 1 other hospital	Not rated	84	$91.62 at a hospital or surgery center$360 in the office
Ryne DoughertyDiagnostic Radiology · SpokaneOffers telehealth visits	Inland Imaging LLCGroup of 129 clinicians	Kadlec Regional Medical CenterProvidence St Mary Medical Center	Not rated	81	$91.61 at a hospital or surgery center$229 in the office
Eric BreadyDiagnostic Radiology · Spokane	Not on file	None on file	Not rated	77	$87.10 at a hospital or surgery center$84.55 in the office
Gurpreet Dhillon, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Ocean Beach HospitalSamaritan HospitalSummit Pacific Medical Center	Not rated	76	$99.28 at a hospital or surgery center$275 in the office
Wojciech Kapalczynski, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	MultiCare Good Samaritan HospitalSt Anthony HospitalSt Francis Community Hospitaland 2 other hospitals	Not rated	76	$91.76 at a hospital or surgery center$330 in the office
Steven Bell, MDDiagnostic Radiology · Bremerton	Olympic Medical Imaging Consultants, PLLCGroup of 18 clinicians	St Joseph Medical CenterSt Michael Medical Center	79 of 100CMS MIPS 2024, reported by their group	71	$92.00 at a hospital or surgery center$92.12 in the office
Michael Posch, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Samaritan Hospitaland 1 other hospital	Not rated	70	$95.27 at a hospital or surgery center$231 in the office
Bradley Brown, MDDiagnostic Radiology · Bremerton	Olympic Medical Imaging Consultants, PLLCGroup of 18 clinicians	St Michael Medical Center	79 of 100CMS MIPS 2024, reported by their group	69	$92.00 at a hospital or surgery center$92.14 in the office
Casey Cable, MDDiagnostic Radiology · SpokaneOffers telehealth visits	Inland Imaging LLCGroup of 129 clinicians	Kadlec Regional Medical CenterProvidence St Mary Medical Center	Not rated	69	$91.03 at a hospital or surgery center
Gregory Balmforth, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence Mount Carmel Hospitaland 2 other hospitals	Not rated	69	$92.57 at a hospital or surgery center$348 in the office
Scott King, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence St Mary Medical Centerand 2 other hospitals	Not rated	66	$91.30 at a hospital or surgery center$358 in the office
Kristine Lineberry, MDDiagnostic Radiology · Silverdale	Olympic Medical Imaging Consultants, PLLCGroup of 18 clinicians	Olympic Medical CenterSt Anthony HospitalSt Joseph Medical Centerand 2 other hospitals	79 of 100CMS MIPS 2024, reported by their group	65	$92.32 at a hospital or surgery center$92.08 in the office
Jeffrey Nackos, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence Mount Carmel Hospitaland 1 other hospital	Not rated	64	$92.61 at a hospital or surgery center$343 in the office
Kristin Manning, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Providence Regional Medical Center EverettSwedish Edmonds HospitalSwedish Issaquahand 2 other hospitals	Not rated	64	$99.68 at a hospital or surgery center$352 in the office
Ishwar Bhat, MDDiagnostic Radiology · Spokane	The Polyclinic PLLCGroup of 365 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Samaritan Hospitaland 1 other hospital	Not rated	55	$98.65 at a hospital or surgery center$261 in the office
Carter Yeatman, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Olympic Medical CenterYakima Valley Memorial	Not rated	54	$99.27 at a hospital or surgery center$307 in the office
Terri Lewis, MDDiagnostic Radiology · Spokane	Inland Imaging LLCGroup of 129 clinicians	Kadlec Regional Medical CenterProv Sacred HRT Med Ctr & Childs Hosp.Providence Holy Family Hospitaland 2 other hospitals	Not rated	53	$90.81 at a hospital or surgery center$225 in the office
Tai Luong, MDDiagnostic Radiology · Silverdale	Olympic Medical Imaging Consultants, PLLCGroup of 18 clinicians	Jefferson HealthcareOlympic Medical CenterSt Joseph Medical Centerand 2 other hospitals	79 of 100CMS MIPS 2024, reported by their group	52	$92.18 at a hospital or surgery center
Andrew Nguyen, MDDiagnostic Radiology · Lynnwood	Virginia Mason Medical CenterGroup of 867 clinicians	MultiCare Good Samaritan HospitalSt Anthony HospitalSt Joseph Medical Centerand 2 other hospitals	Not rated	49	$97.04 at a hospital or surgery center$201 in the office

Showing the 25 with the most Medicare services. Show all 185

Reading the doctor list

A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
Independent practice means CMS lists no group for the doctor, or a group of one. None on file for hospitals is common for office-based doctors and doesn’t mean anything is wrong.