How much does a CT scan, abdomen and pelvis (with contrast) typically cost in the United States?

Across 2,807 U.S. hospitals in 52 states, the modeled national fair BaseRate for CT scan, abdomen and pelvis (with contrast) is $457, with most hospital negotiated prices falling between $282 and $1,099.

Why do hospital prices for CT scan, abdomen and pelvis (with contrast) vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 2,807 hospitals

CT scan, abdomen and pelvis (with contrast) cost

What a ct scan, abdomen and pelvis (with contrast) costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

North Country Hospital and Health Center maintains disciplined commercial pricing across both elective shoppable care (0.5× Medicare) and captive emergency/ancillary departments (0.5× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.43× Fair BaseRate) without hidden ancillary cross-subsidization.

#1 of 11 in VT · 1st State Percentile#30 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 57% below peer Fair BaseRate (0.43×)
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 65% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.33× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.65×) jump +97% above the median procedure ratio (Q50 0.33×)
Consolidated metro market (HHI 2,509) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

0.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+97% Upper Tail

Q25 0.24× · Q50 0.33× · Q75 0.65×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 71/100Fair

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · CT scan, abdomen and pelvis (with contrast)

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK0.86× 1.3× Med ME0.73× 1.1× Med WA1.56× 2.3× Med ID0.82× 1.2× Med MT1.07× 1.6× Med ND1.38× 2.1× Med MN0.97× 1.4× Med WI1.60× 2.4× Med MI0.79× 1.2× Med VT0.67× 1.0× Med NH1.00× 1.5× Med OR1.04× 1.6× Med NV1.28× 1.9× Med WY0.78× 1.2× Med SD0.82× 1.2× Med IA0.99× 1.5× Med IL0.85× 1.3× Med IN1.41× 2.1× Med OH1.01× 1.5× Med PA0.83× 1.2× Med NY0.97× 1.4× Med MA1.22× 1.8× Med CA1.08× 1.6× Med UT1.28× 1.9× Med CO1.26× 1.9× Med NE1.69× 2.5× Med MO0.92× 1.4× Med KY1.04× 1.5× Med WV0.77× 1.1× Med VA1.56× 2.3× Med MD0.77× 1.2× Med NJ1.10× 1.6× Med CT1.29× 1.9× Med AZ0.88× 1.3× Med NM0.86× 1.3× Med KS1.03× 1.5× Med AR0.85× 1.3× Med TN0.79× 1.2× Med NC0.79× 1.2× Med SC1.07× 1.6× Med DE1.08× 1.6× Med DC1.26× 1.9× Med RI0.90× 1.3× Med OK1.10× 1.6× Med LA1.12× 1.7× Med MS1.04× 1.6× Med AL0.74× 1.1× Med GA1.07× 1.6× Med HI0.93× 1.4× Med TX1.11× 1.7× Med FL1.41× 2.1× Med PR0.46× 0.7× Med

PR0.46×0.7× Med VT0.67×1.0× Med ME0.73×1.1× Med AL0.74×1.1× Med MD0.77×1.2× Med WV0.77×1.1× Med WY0.78×1.2× Med MI0.79×1.2× Med NC0.79×1.2× Med TN0.79×1.2× Med ID0.82×1.2× Med SD0.82×1.2× Med PA0.83×1.2× Med AR0.85×1.3× Med IL0.85×1.3× Med AK0.86×1.3× Med NM0.86×1.3× Med AZ0.88×1.3× Med RI0.90×1.3× Med MO0.92×1.4× Med HI0.93×1.4× Med MN0.97×1.4× Med NY0.97×1.4× Med IA0.99×1.5× Med NH1.00×1.5× Med OH1.01×1.5× Med KS1.03×1.5× Med KY1.04×1.5× Med MS1.04×1.6× Med OR1.04×1.6× Med GA1.07×1.6× Med MT1.07×1.6× Med SC1.07×1.6× Med CA1.08×1.6× Med DE1.08×1.6× Med NJ1.10×1.6× Med OK1.10×1.6× Med TX1.11×1.7× Med LA1.12×1.7× Med MA1.22×1.8× Med CO1.26×1.9× Med DC1.26×1.9× Med NV1.28×1.9× Med UT1.28×1.9× Med CT1.29×1.9× Med ND1.38×2.1× Med FL1.41×2.1× Med IN1.41×2.1× Med VA1.56×2.3× Med WA1.56×2.3× Med WI1.60×2.4× Med NE1.69×2.5× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

PR0.46×(0.7×)VT0.67×(1.0×)ME0.73×(1.1×)AL0.74×(1.1×)MD0.77×(1.2×)

5 Highest-Markup States (Strict Bill Audit Recommended)

NE1.69×(2.5×)WI1.60×(2.4×)WA1.56×(2.3×)VA1.56×(2.3×)IN1.41×(2.1×)

The BaseRate high confidence

$457

the fair national price for a ct scan, abdomen and pelvis (with contrast)

typically $282–$1,099 across 2,807 hospitals · how we calculate it

modeled estimate · not a bill or quote

2,807

hospitals priced

states

3.9×

price spread — where shopping matters

1.5×

vs. Medicare

Across 2,807 hospitals in 52 states, a ct scan, abdomen and pelvis (with contrast) has a fair BaseRate of $457 and typically costs $282–$1,099. The cheapest state is PR; the priciest is NE.

Cheapest hospitals for a ct scan, abdomen and pelvis (with contrast)

CT scan, abdomen and pelvis (with contrast) cost by state

AK $387 5 hospitals AL $331 50 hospitals AR $382 42 hospitals AZ $393 49 hospitals CA $485 225 hospitals CO $566 56 hospitals CT $577 14 hospitals DC $563 4 hospitals DE $483 8 hospitals FL $632 146 hospitals GA $479 84 hospitals HI $418 14 hospitals IA $442 66 hospitals ID $368 19 hospitals IL $381 109 hospitals IN $632 89 hospitals KS $463 88 hospitals KY $465 59 hospitals LA $500 75 hospitals MA $546 44 hospitals MD $347 2 hospitals ME $325 23 hospitals MI $352 69 hospitals MN $433 68 hospitals MO $413 73 hospitals MS $468 58 hospitals MT $478 16 hospitals NC $353 51 hospitals ND $618 13 hospitals NE $757 28 hospitals NH $448 13 hospitals NJ $494 49 hospitals NM $386 12 hospitals NV $575 22 hospitals NY $433 84 hospitals OH $452 107 hospitals OK $494 70 hospitals OR $467 34 hospitals PA $371 115 hospitals PR $207 12 hospitals RI $402 6 hospitals SC $478 43 hospitals SD $368 11 hospitals TN $356 71 hospitals TX $496 266 hospitals UT $575 28 hospitals VA $700 51 hospitals VT $301 10 hospitals WA $697 49 hospitals WI $718 85 hospitals WV $344 18 hospitals WY $351 4 hospitals

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $457

Medicare Rate $265

Self-Pay Cash Request Quote

Insurer Median $448

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $390 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $390

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $390).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$618 Above Fair BaseRate

Negotiate Toward $457 Fair BaseRate ($265 Medicare)

Your bill ($1,075) is $618 above the denoised Fair BaseRate ($457) and 4.1× the $265 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.