Advocate Illinois Masonic Medical Center — CT scan prices
← Hospital overviewVerified from Advocate Illinois Masonic 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.
4 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CT ABDOMEN & PELVIS W/O DYE Outpatient | 74176 CPT | $3,410 | $1,705 | $365 – $2,776 | $3,204 | |
| CT ABDOMEN & PELVIS W/WO DYE Outpatient | 74178 CPT | $5,530 | $2,765 | $540 – $4,501 | $5,530 | |
| CT CHEST DX W/O DYE Outpatient | 71250 CPT | $1,710 | $855 | $161 – $1,392 | $1,409 | |
| CT HEAD W/O DYE Outpatient | 70450 CPT | $1,710 | $855 | $161 – $1,392 | $1,420 |