Deaconess Gibson Hospital — CT scan prices
← Hospital overviewVerified from Deaconess Gibson 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.
8 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CT ABDOMEN & PELVIS W/O CONTRAST Inpatient | 74176 CPT | $2,938 | $1,557 | $1,557 – $2,644 | $2,295 | |
| HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS Inpatient | 74178 CPT | $3,955 | $2,096 | $2,096 – $3,560 | $3,115 | |
| HC CT ABDOMEN AND PELVIS WITH CONTRAST Inpatient | 74177 CPT | $3,421 | $1,813 | $1,813 – $3,079 | $2,681 | |
| HC CT HEAD/BRAIN W/CONTRAST Inpatient | 70460 CPT | $1,711 | $907 | $907 – $1,540 | — | |
| HC CT HEAD/BRAIN W/O CONTRAST Inpatient | 70450 CPT | $1,583 | $839 | $839 – $1,425 | $1,236 | |
| HC CT LOW DOSE LUNG DIAGNOSTIC - FOLLOW UP Inpatient | 71250 CPT | $1,472 | $780 | $780 – $1,325 | $1,150 | |
| HC CT THORAX DIAG W/CONTRAST Inpatient | 71260 CPT | $1,654 | $877 | $877 – $1,489 | $1,113 | |
| HC CT THORAX DIAG W/O CONTRAST Inpatient | 71250 CPT | $1,472 | $780 | $780 – $1,325 | $1,150 |