M Health Fairview Ridges Hospital — CT scan prices
← Hospital overviewVerified from M Health Fairview Ridges Hospital’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 SCAN, ABDOMEN AND PELVIS W/O CONTRAST Inpatient | 74176 CPT | $1,286 | $547 | $670 – $1,158 | — | |
| HC CT THORAX, DIAGNOSTIC, W/O CONT Inpatient | 71250 CPT | $1,174 | $499 | $612 – $1,057 | — | |
| HC CT THORAX, DIAGNOSTIC, WCONT Inpatient | 71260 CPT | $1,444 | $614 | $752 – $1,300 | — |