M Health Fairview Lakes Medical Center — CT scan prices
← Hospital overviewVerified from M Health Fairview Lakes 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) | |
|---|---|---|---|---|---|---|
| HC CT HEAD WO CONTRAST Inpatient | 70450 CPT | $900 | $361 | $469 – $810 | $846 | |
| HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST Inpatient | 74177 CPT | $1,832 | $735 | $954 – $1,649 | — | |
| HC CT THORAX, DIAGNOSTIC, WCONT Inpatient | 71260 CPT | $1,431 | $574 | $746 – $1,288 | — |