Pelvic CT scan (without contrast)

This scans only the region between the hip bones — bladder, reproductive organs, the lower colon and the pelvic bones — with no dye injected. It is a narrower study than the abdomen-and-pelvis CT that most people get, and when both regions are imaged together a different, combined code applies instead of this one.

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What it is

The pelvis is the bowl of bone at the base of the trunk and everything packed inside it: the bladder, the prostate in men, the uterus and ovaries in women, the last stretch of the colon, the pelvic lymph nodes and the bones themselves. A CT of this region alone builds cross-sectional images of just that area. Without injected dye the bones and any calcified structures are rendered in sharp detail, while the soft organs are visible but not separated from each other as clearly as they would be with contrast. The scan usually takes under ten minutes on the table.

Why it is done

  • To assess the pelvic bones and hip joints after trauma, where fractures can be hard to see on plain x-rays alone
  • To confirm the position of a device inside the pelvis, or to locate something that should not be there
  • To look at the bladder and its surroundings when dye is not wanted or not safe to give
  • To provide the anatomy needed for planning radiation treatment or a surgical approach to the pelvis

What to expect

There is no IV line for this version and no injection, so nothing is felt beyond the table itself. Metal — belt buckles, zips, jewelry, coins in pockets — has to come off, because it streaks the images. Patients lie on their back and are moved slowly through the scanner opening. Some protocols ask for a full bladder, others for an empty one, so the instruction given when the appointment is booked is worth following. A radiologist reads the images and the report goes to the doctor who ordered it rather than being given at the scanner.

Questions worth asking

  • Was the abdomen scanned at the same visit? If it was, the correct charge is usually one combined abdomen-and-pelvis code, not a pelvis code plus an abdomen code.
  • Pelvis-only scans are less commonly ordered than combined ones. Is the price at this facility quoted for the pelvis alone, or is a combined study what I will actually receive?
  • Am I being charged a facility fee on top of the technical charge, and does a freestanding imaging center in this area charge one?
  • If my insurer requires prior authorization, was it obtained for the pelvis code specifically, or for a broader abdominal study that may not match what is billed?

What Pelvic CT scan (without contrast) costs by state

Pelvic CT scan (without contrast) prices at hospitals

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