AdventHealth Polk — CT scan prices
← Hospital overviewVerified from AdventHealth Polk’s published price file
Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
7 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CAT SCAN OF CHEST CONTRAST Inpatient & outpatient | 71260 HCPCS | $2,794 | — | — | — | |
| HC CT SCAN HEAD CONTRAST Inpatient & outpatient | 70460 HCPCS | $2,486 | — | — | — | |
| HC CT SCAN,ABDOMEN AND PELVIS,COMBO Inpatient & outpatient | 74178 HCPCS | $5,322 | — | — | — | |
| HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST Inpatient & outpatient | 74177 HCPCS | $5,187 | — | — | — | |
| HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST Inpatient & outpatient | 74176 HCPCS | $4,487 | — | — | — | |
| HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL Inpatient & outpatient | 70450 HCPCS | $2,004 | — | — | — | |
| HC CT SCAN,THORAX,W/O CONTRAST Inpatient & outpatient | 71250 HCPCS | $1,986 | — | — | — |