How much does Medicare pay for CPT 74177?

Medicare allowed an average of $105.68 per service and paid $79.93 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $613.33, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 74177?

Ct scan of abdomen and pelvis with contrast. It was billed 3,593,132 times to 3,448,912 Medicare beneficiaries by 23,893 providers in 2024.

Does 74177 pay differently in an office than a hospital?

Yes. The allowed amount averaged $201.33 in an office setting and $84.24 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 74177 most?

Diagnostic Radiology, with 3,342,037 services from 21,010 clinicians. Next are Interventional Radiology, Independent Diagnostic Testing Facility (IDTF), Hematology-Oncology.

CPT 74177

Ct scan of abdomen and pelvis with contrast

$105.68Medicare-allowed amount per service, averaged across 3,593,132 services

Providers submitted

$613.33

Asking price, not received

Medicare allowed

$105.68

The fee schedule figure

Medicare paid

$79.93

Balance is patient coinsurance

Providers submitted an average of $613.33 for this code and Medicare allowed $105.68 — 5.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $79.93 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $201.33
Hospital / facility: $84.24

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 658,183 services were billed in an office setting and 2,934,949 in a facility.

Services: 3,593,132
Beneficiaries: 3,448,912
Providers billing it: 23,893
Total allowed: $379,722,190

What Medicare pays for CPT 74177

Across 3,593,132 services billed by 23,893 providers to 3,448,912 beneficiaries, Medicare allowed an average of $105.68 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 74177

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	3,342,037	3,221,195	$101.10	21,010
Interventional Radiology	112,715	109,069	$99.00	940
Independent Diagnostic Testing Facility (IDTF)	49,081	41,568	$259.08	421
Hematology-Oncology	28,690	23,251	$228.71	478
Nuclear Medicine	14,563	12,301	$182.31	77
Medical Oncology	9,440	7,893	$217.93	172
Radiation Oncology	8,068	7,172	$183.74	116
Internal Medicine	6,381	5,870	$182.65	118
Family Practice	4,571	4,096	$202.21	137
Gastroenterology	2,375	2,315	$214.16	87
Emergency Medicine	2,282	2,186	$191.28	56
Physician Assistant	1,594	1,552	$206.97	58
Undefined Physician type	1,541	1,209	$202.56	5
Nurse Practitioner	1,342	1,311	$208.72	58
Urology	1,296	1,232	$173.14	62

74177 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	307,942	$119.80	$80.60	2,245
Texas	260,463	$105.22	$78.96	1,938
Florida	220,042	$123.56	$93.00	1,458
New York	210,248	$124.02	$83.36	1,345
Illinois	162,945	$98.69	$71.38	1,052
Pennsylvania	155,471	$92.84	$67.39	1,034
Minnesota	150,486	$106.42	$77.42	923
North Carolina	130,962	$99.89	$76.14	852
Massachusetts	126,111	$101.34	$70.02	635
Virginia	113,727	$103.53	$76.90	595
Ohio	105,331	$89.72	$66.21	827
Michigan	102,611	$87.75	$64.25	691
Missouri	91,873	$89.54	$67.93	558
New Jersey	91,152	$126.36	$86.36	639
Georgia	90,142	$95.27	$71.32	662
Tennessee	87,766	$109.77	$86.49	589
Maryland	86,166	$142.30	$100.96	413
Washington	80,471	$107.71	$75.31	514
Colorado	73,901	$103.99	$74.08	483
Indiana	69,914	$90.11	$68.27	465
Arizona	69,491	$123.63	$93.13	445
Wisconsin	65,930	$92.67	$68.81	553
South Carolina	64,701	$103.77	$80.64	422
Alabama	46,648	$95.80	$74.56	346
Connecticut	43,966	$104.68	$73.71	312
Oklahoma	43,228	$87.68	$66.78	238
Oregon	38,568	$102.29	$74.92	299
Kansas	38,215	$94.02	$72.65	210
Kentucky	38,017	$89.33	$67.77	277
Iowa	36,761	$99.10	$75.98	205
Mississippi	33,506	$92.81	$72.70	189
Nebraska	32,728	$93.73	$72.28	165
Louisiana	32,000	$89.95	$68.87	325
Arkansas	31,057	$101.22	$81.64	206
Nevada	25,946	$104.73	$78.51	200
Utah	23,952	$98.49	$74.55	202
New Hampshire	22,566	$89.11	$64.02	140
Idaho	20,993	$88.87	$66.00	136
West Virginia	19,097	$82.46	$59.62	124
Rhode Island	18,548	$104.53	$72.28	102
New Mexico	18,054	$101.13	$73.68	121
Delaware	15,393	$102.16	$74.60	58
Maine	13,001	$93.31	$66.24	117
District of Columbia	12,570	$121.06	$83.64	73
Montana	11,857	$94.62	$69.35	68
South Dakota	11,127	$88.98	$64.49	81
Hawaii	9,938	$98.16	$69.36	86
Alaska	9,686	$137.14	$81.72	68
North Dakota	9,552	$86.40	$62.61	72
Vermont	7,308	$88.56	$64.13	41
Wyoming	6,836	$104.45	$77.02	41
Puerto Rico	1,586	$95.41	$69.42	31
AA	762	$82.88	$62.43	3
AP	618	$110.68	$77.51	4
ZZ	393	$81.22	$59.75	3
XX	350	$163.86	$130.66	2

Related codes

74176Ct scan of abdomen and pelvis without contrast$90.05
74183Mri scan of abdomen before and after contrast$175.35
74178Ct scan of abdomen and pelvis before and after contrast$176.76
74174Ct scan of blood vessels of abdomen and pelvis$117.69
74181Mri scan of abdomen without contrast$93.69
74170Ct scan of abdomen before and after contrast$127.64
74160Ct scan of abdomen$107.50
74150Ct scan of abdomen without contrast$93.55
74175Ct scan of blood vessels of abdomen$104.72
74185Mri scan of blood vessels of abdomen$211.76

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.