Mansfield Hospital — CT scan prices
← Hospital overviewVerified from Mansfield Hospital’s published price file
Includes cash prices, list prices. 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 Ct Abdomen Pelvis W Contrast Inpatient & outpatient | 74177 HCPCS | $4,347 | $2,826 | — | — | |
| Hc Ct Abdomen Pelvis W Wo Contrast Inpatient & outpatient | 74178 HCPCS | $4,999 | $3,249 | — | — | |
| Hc Ct Abdomen Pelvis Wo Contrast Inpatient & outpatient | 74176 HCPCS | $3,938 | $2,560 | — | — | |
| Hc Ct Brain W Contrast Inpatient & outpatient | 70460 HCPCS | $2,108 | $1,370 | — | — | |
| Hc Ct Brain Wo Contrast Inpatient & outpatient | 70450 HCPCS | $1,670 | $1,086 | — | — | |
| Hc Ct Chest Diagnostic W Contrast Inpatient & outpatient | 71260 HCPCS | $2,711 | $1,762 | — | — | |
| Hc Ct Chest Diagnostic Wo Contrast Inpatient & outpatient | 71250 HCPCS | $2,465 | $1,602 | — | — |