CPT
70450 — CT scan of head/brain without contrast
Same scan can cost 5x more at a hospital than at an imaging center.
Imaging
74018 — Radiologic examination, abdomen; 1 view
A single-view X-ray of the abdomen used to quickly evaluate for bowel obstruction, free air (perforation), kidney stones, or other abdominal conditions.
- Typical setting: Hospital, imaging center, urgent care
- National avg charge (illustrative): $30–$75 Medicare allowed; $50–$200 commercial; varies by region
- Most-disputed reason: Billing 74018 (1 view) when 2 views (74019) were actually obtained — view count from the radiology report must match the code
What it means
What 74018 actually means
A single-view X-ray of the abdomen used to quickly evaluate for bowel obstruction, free air (perforation), kidney stones, or other abdominal conditions. It is a common emergency department and urgent care study.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Billing 74018 (1 view) when 2 views (74019) were actually obtained — view count from the radiology report must match the code
- Billing 74018 and 74019 together on the same encounter instead of upgrading to the appropriate multi-view code
- Bundling abdominal X-ray with chest X-ray (71045/71046) when both were ordered and performed — each is separately billable when a distinct clinical need exists
If you see 74018 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 74018 often also see these adjacent codes on the same bill.
CPT
70470 — CT head/brain with and without contrast
If contrast wasn't given, 70470 is the wrong code.
CPT
70486 — CT maxillofacial area; without contrast material
Imaging — verify professional + technical components weren't double-billed.
CPT
70551 — MRI brain without contrast
Same scan can be 5x cheaper at a freestanding imaging center.
CPT
71045 — Chest X-ray, single view
Same image can cost 10x more at a hospital than a freestanding imaging center.
CPT
71046 — Chest X-ray, two views (PA + lateral)
Two-view CXR is standard. Watch the price gap between hospital and freestanding.
Related BillBusted guides
Plain-English reads if you see 74018 on a bill.
74018 FAQ
Plain-English answers.
What does 74018 usually cost?
$30–$75 Medicare allowed; $50–$200 commercial; varies by region. Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 74018?
Billing 74018 (1 view) when 2 views (74019) were actually obtained — view count from the radiology report must match the code
What should I do if I see 74018 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 74018 before paying.
Don't pay 74018 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.