Sanford Vermillion Hospital — CT scan prices
← Hospital overviewVerified from Sanford Vermillion 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 Inpatient | 74177 CPT | $5,405 | $4,324 | $2,140 – $4,865 | — | |
| CT abd pelvis without contrast Inpatient | 74176 CPT | $4,766 | $3,813 | $1,887 – $4,289 | — | |
| CT abd pelvis without then w cont Inpatient | 74178 CPT | $5,527 | $4,422 | $2,188 – $4,974 | — | |
| CT head w contrast Inpatient | 70460 CPT | $2,874 | $2,299 | $1,138 – $2,587 | — | |
| CT head without contrast Inpatient | 70450 CPT | $2,196 | $1,757 | $869 – $1,976 | — | |
| CT thorax diagnostic with contrast Inpatient | 71260 CPT | $2,876 | $2,301 | $1,139 – $2,588 | — | |
| CT thorax diagnostic without contrast Inpatient | 71250 CPT | $2,360 | $1,888 | $934 – $2,124 | — |