Froedtert West Bend Hospital — CT scan prices
← Hospital overviewVerified from Froedtert West Bend 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.
4 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 | $6,974 | $3,836 | $4,184 – $6,625 | — | |
| HC CT, HEAD OR BRAIN, WITH CONTRAST Inpatient | 70460 CPT | $2,665 | $1,466 | $1,599 – $2,532 | — | |
| HC CT, THORAX, DX, W/ CONTRAST Inpatient | 71260 CPT | $3,181 | $1,750 | $1,909 – $3,022 | $1,527 | |
| HC CT, THORAX, DX, W/O CONTRAST Inpatient | 71250 CPT | $2,855 | $1,570 | $1,713 – $2,712 | — |