Sanford Canby Medical Center — CT scan prices
← Hospital overviewVerified from Sanford Canby 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 Inpatient | 74177 CPT | $5,108 | $4,086 | $2,809 – $4,832 | — | |
| CT abd pelvis without contrast Inpatient | 74176 CPT | $4,557 | $3,646 | $2,506 – $4,311 | — | |
| CT abd pelvis without then w cont Inpatient | 74178 CPT | $5,493 | $4,394 | $3,021 – $5,196 | — | |
| CT head w contrast Inpatient | 70460 CPT | $2,981 | $2,385 | $1,640 – $2,820 | — | |
| CT head without contrast Inpatient | 70450 CPT | $2,441 | $1,953 | $1,343 – $2,309 | — | |
| CT thorax diagnostic with contrast Inpatient | 71260 CPT | $3,297 | $2,638 | $1,813 – $3,119 | — | |
| CT thorax diagnostic without contrast Inpatient | 71250 CPT | $2,589 | $2,071 | $1,424 – $2,449 | — |