Sanford Tracy Hospital — CT scan prices
← Hospital overviewVerified from Sanford Tracy Hospital’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 | $5,820 | $4,656 | $375 – $5,471 | — | |
| CT abd pelvis without contrast Outpatient | 74176 CPT | $4,857 | $3,886 | $254 – $4,566 | — | |
| CT abd pelvis without then w cont Outpatient | 74178 CPT | $6,577 | $5,262 | $375 – $6,182 | — | |
| CT head w contrast Outpatient | 70460 CPT | $3,396 | $2,717 | $187 – $3,192 | — | |
| CT head without contrast Outpatient | 70450 CPT | $2,658 | $2,126 | $112 – $2,499 | — | |
| CT thorax diagnostic with contrast Outpatient | 71260 CPT | $3,550 | $2,840 | $187 – $3,337 | — | |
| CT thorax diagnostic without contrast Outpatient | 71250 CPT | $2,721 | $2,177 | $112 – $2,558 | — |