Sanford USD Medical Center — CT scan prices
← Hospital overviewVerified from Sanford USD 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 | $6,104 | $4,883 | $3,357 – $5,494 | — | |
| CT ABD PELVIS WO CONTRAST Inpatient | 74176 CPT | $5,294 | $4,235 | $2,912 – $4,765 | — | |
| CT ABD PELVIS WO THEN W CONT Inpatient | 74178 CPT | $6,516 | $5,213 | $3,584 – $5,864 | — | |
| CT HEAD W CONTRAST Inpatient | 70460 CPT | $3,311 | $2,649 | $1,821 – $2,980 | — | |
| CT HEAD WO CONTRAST Inpatient | 70450 CPT | $2,918 | $2,334 | $1,605 – $2,626 | — | |
| CT THORAX DIAGNOSTIC WITH CONTRAST Inpatient | 71260 CPT | $3,712 | $2,970 | $2,042 – $3,341 | — | |
| CT THORAX DIAGNOSTIC WO CONTRAST Inpatient | 71250 CPT | $3,212 | $2,570 | $1,767 – $2,891 | — |