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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 74174
  4. Cost Analysis

How Much Does Ct scan of blood vessels of abdomen and pelvis with contrast Cost on Medicare?

Cost analysis for CPT 74174 — Ct scan of blood vessels of abdomen and pelvis with contrast

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Average Medicare Payment

$94.85

2023 data

Total Payments (2023)

$31.0M

Services (2023)

327.6K

Price Change (2014–2023)

-19.7%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$118.15$13.4M109.7K—
2015$104.43$13.4M125.9K-11.6%
2016$101.75$15.1M146.1K-2.6%
2017$99.18$17.3M172.3K-2.5%
2018$97.98$19.5M198.8K-1.2%
2019$100.94$23.5M233.5K+3.0%
2020$101.59$22.0M216.7K+0.6%
2021$99.23$26.2M263.9K-2.3%
2022$97.13$27.1M280.1K-2.1%
2023$94.85$31.0M327.6K-2.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.0x more than the cheapest for this procedure. AK averages $145.60 vs ND at $74.51.

StateAvg PaymentTotal PaymentsServicesProviders
AK$145.60$94.9K65227
MD$123.38$1.3M10.5K258
NY$112.73$2.2M19.2K555
MN$111.16$1.7M15.2K460
AZ$109.65$726.9K6.6K185
FL$108.84$2.3M21.5K658
LA$101.30$290.1K2.9K115
CA$100.90$2.6M26.2K868
DC$97.48$191.6K2.0K40
NJ$96.24$786.7K8.2K257
IL$95.54$1.4M14.9K495
NC$95.29$1.1M11.5K326
TX$95.03$1.9M20.3K656
CT$94.80$335.2K3.5K126
WI$94.69$437.1K4.6K184
VA$93.98$1.0M11.1K303
MA$92.47$1.1M12.1K288
IA$92.07$212.9K2.3K84
DE$91.40$113.8K1.2K36
MS$90.58$227.5K2.5K79
NV$89.89$192.0K2.1K72
CO$88.66$531.4K6.0K216
OR$87.25$353.7K4.1K101
WA$85.27$700.9K8.2K236
PA$85.02$1.4M15.9K499
GA$84.32$663.6K7.9K272
UT$83.90$133.2K1.6K64
SC$83.28$537.2K6.5K174
WY$83.17$31.3K37616
TN$83.16$672.4K8.1K250
AL$82.98$305.2K3.7K144
RI$82.85$156.0K1.9K57
NE$81.97$150.1K1.8K75
AR$81.85$253.1K3.1K91
NH$81.79$194.8K2.4K72
OH$81.60$952.7K11.7K343
KS$81.55$250.3K3.1K103
MI$81.47$882.4K10.8K378
NM$80.87$94.9K1.2K46
PR$80.41$12.0K1495
MO$80.37$655.4K8.2K262
HI$80.04$73.2K91535
ID$79.99$112.2K1.4K58
MT$79.56$75.3K94732
KY$79.38$259.7K3.3K101
IN$78.98$515.1K6.5K205
ME$78.52$97.1K1.2K50
OK$76.67$244.7K3.2K112
WV$76.49$123.2K1.6K61
VT$76.35$62.8K82218
SD$76.20$64.8K85128

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Chad EngelDiagnostic RadiologyFL$71.7K647$110.85
Jerry ChangDiagnostic RadiologyCA$59.4K278$213.79
Robert IaffaldanoInterventional CardiologyIL$55.7K171$325.72
Vinit BaliyanDiagnostic RadiologyMA$50.1K376$133.26
Augustin DelagoCardiologyNY$49.7K163$304.67
Constantin MarcuCardiologyNC$49.4K225$219.45
Harold LittDiagnostic RadiologyPA$47.0K408$115.28
Timothy WelchDiagnostic RadiologyMN$46.2K181$255.46
Girish KumarDiagnostic RadiologyTX$44.7K536$83.37
Dominick StellaInterventional CardiologyIL$44.5K136$327.05
Klaus HagspielInterventional RadiologyVA$44.2K449$98.43
Ashwin BalasubramaniamDiagnostic RadiologyVA$44.2K169$261.37
Edmund HongDiagnostic RadiologyVA$43.5K169$257.48
Philip AraozDiagnostic RadiologyMN$43.2K161$268.08
Patrick NortonInterventional RadiologyVA$40.5K414$97.72
Ayaz AghayevDiagnostic RadiologyMA$40.3K477$84.42
Arvinder UppalDiagnostic RadiologyMD$39.7K143$277.88
Peter KakavasCardiologyIL$38.9K122$319.16
Benoit DesjardinsDiagnostic RadiologyPA$38.8K387$100.17
Brian GhoshhajraDiagnostic RadiologyMA$37.5K316$118.52

🤔 Is Ct scan of blood vessels of abdomen and pelvis with contrast Overpriced?

Based on the data, CPT 74174 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 19.7% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.