Sanford Hospital Webster — CT scan prices
← Hospital overviewVerified from Sanford Hospital Webster’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.
14 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CT ABD PELVIS W CONTRAST Inpatient | 74177 CPT | $5,573 | $4,458 | $3,053 – $5,016 | — | |
| CT ABD PELVIS W CONTRAST Outpatient | 74177 CPT | $5,573 | $4,458 | $1,750 – $5,016 | — | |
| CT ABD PELVIS WO CONTRAST Inpatient | 74176 CPT | $4,680 | $3,744 | $2,564 – $4,212 | — | |
| CT ABD PELVIS WO CONTRAST Outpatient | 74176 CPT | $4,680 | $3,744 | $1,470 – $4,212 | — | |
| CT ABD PELVIS WO THEN W CONT Inpatient | 74178 CPT | $6,638 | $5,310 | $3,637 – $5,974 | — | |
| CT ABD PELVIS WO THEN W CONT Outpatient | 74178 CPT | $6,638 | $5,310 | $2,084 – $5,974 | — | |
| CT HEAD W CONTRAST Inpatient | 70460 CPT | $3,059 | $2,447 | $1,676 – $2,753 | — | |
| CT HEAD W CONTRAST Outpatient | 70460 CPT | $3,059 | $2,447 | $961 – $2,753 | — | |
| CT HEAD WO CONTRAST Inpatient | 70450 CPT | $2,472 | $1,978 | $1,354 – $2,225 | — | |
| CT HEAD WO CONTRAST Outpatient | 70450 CPT | $2,472 | $1,978 | $776 – $2,225 | — | |
| CT THORAX DIAGNOSTIC WITH CONTRAST Inpatient | 71260 CPT | $3,364 | $2,691 | $1,843 – $3,028 | — | |
| CT THORAX DIAGNOSTIC WITH CONTRAST Outpatient | 71260 CPT | $3,364 | $2,691 | $1,056 – $3,028 | — | |
| CT THORAX DIAGNOSTIC WO CONTRAST Inpatient | 71250 CPT | $2,619 | $2,095 | $1,435 – $2,357 | — | |
| CT THORAX DIAGNOSTIC WO CONTRAST Outpatient | 71250 CPT | $2,619 | $2,095 | $822 – $2,357 | — |