Sanford Bemidji Medical Center — CT scan prices
← Hospital overviewVerified from Sanford Bemidji 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.
7 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CT abd pelvis w contrast Outpatient | 74177 CPT | $5,020 | $4,016 | $277 – $4,518 | $3,968 | |
| CT abd pelvis without contrast Outpatient | 74176 CPT | $4,345 | $3,476 | $177 – $3,911 | — | |
| CT abd pelvis without then w cont Outpatient | 74178 CPT | $5,361 | $4,289 | $277 – $4,825 | — | |
| CT head w contrast Outpatient | 70460 CPT | $2,559 | $2,047 | $133 – $2,303 | $1,011 | |
| CT head without contrast Outpatient | 70450 CPT | $2,329 | $1,863 | $79.32 – $2,096 | $955 | |
| CT thorax diagnostic with contrast Outpatient | 71260 CPT | $2,871 | $2,297 | $133 – $2,584 | $1,698 | |
| CT thorax diagnostic without contrast Outpatient | 71250 CPT | $2,456 | $1,965 | $79.32 – $2,210 | — |