Alice Hyde Medical Center — CT scan prices
← Hospital overviewVerified from Alice Hyde Medical Center’s published price file
Includes cash prices, 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.
3 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL Inpatient & outpatient | 74177 CPT | $107 | $107 | $55.42 – $198 | — | |
| CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL Inpatient & outpatient | 74176 CPT | $103 | $103 | $52.71 – $189 | — | |
| CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL Inpatient & outpatient | 74176 CPT | $815 | $815 | $118 – $799 | — |