Froedtert Community Hospital - Mequon — CT scan prices
← Hospital overviewVerified from Froedtert Community Hospital - Mequon’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) | |
|---|---|---|---|---|---|---|
| HC CT, ABD AND PELVIS, W/O CONTRAST IN ONE/BOTH BODY REGIONS, F/B CONTRAST Inpatient | 74178 CPT | $5,928 | $3,260 | $3,557 – $5,217 | — | |
| HC CT, ABDOMEN AND PELVIS, WITH CONTRAST Inpatient | 74177 CPT | $4,357 | $2,396 | $2,614 – $3,834 | — | |
| HC CT, ABDOMEN AND PELVIS, WITHOUT CONTRAST Inpatient | 74176 CPT | $3,747 | $2,061 | $2,248 – $3,297 | — | |
| HC CT, HEAD OR BRAIN, WITH CONTRAST Inpatient | 70460 CPT | $2,266 | $1,246 | $1,359 – $1,994 | — | |
| HC CT, HEAD OR BRAIN, WITHOUT CONTRAST Inpatient | 70450 CPT | $2,056 | $1,131 | $1,233 – $1,809 | — | |
| HC CT, THORAX, DX, W/ CONTRAST Inpatient | 71260 CPT | $2,704 | $1,487 | $1,622 – $2,380 | — | |
| HC CT, THORAX, DX, W/O CONTRAST Inpatient | 71250 CPT | $2,427 | $1,335 | $1,456 – $2,136 | — |