Sanford Medical Center Mayville — CT scan prices
← Hospital overviewVerified from Sanford Medical Center Mayville’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 | $3,116 | $2,493 | $1,714 – $2,894 | — | |
| CT abd pelvis without contrast Inpatient | 74176 CPT | $2,601 | $2,081 | $1,431 – $2,416 | — | |
| CT abd pelvis without then w cont Inpatient | 74178 CPT | $3,755 | $3,004 | $2,065 – $3,487 | — | |
| CT head w contrast Inpatient | 70460 CPT | $2,201 | $1,761 | $1,211 – $2,044 | — | |
| CT head without contrast Inpatient | 70450 CPT | $1,836 | $1,469 | $1,010 – $1,705 | — | |
| CT thorax diagnostic with contrast Inpatient | 71260 CPT | $2,127 | $1,702 | $1,170 – $1,975 | — | |
| CT thorax diagnostic without contrast Inpatient | 71250 CPT | $1,779 | $1,423 | $978 – $1,652 | — |