Munson Medical Center — CT scan prices
← Hospital overviewVerified from Munson 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.
12 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 3074 CT ABD + PEL W/O NO ORAL IV Outpatient | 74176 CPT | $2,687 | $2,284 | $124 – $2,633 | — | |
| 3076 CT ABD + PEL W/O IV ORAL ONLY Outpatient | 74176 CPT | $2,687 | $2,284 | $124 – $2,633 | — | |
| 3078 CT CHEST W/ CONTRAST Outpatient | 71260 CPT | $2,377 | $2,020 | $91.40 – $2,329 | — | |
| 3080 CT CHEST W CONTR Outpatient | 71260 CPT | $2,377 | $2,020 | $91.40 – $2,329 | — | |
| 93073 CT CHEST W/O NO ORAL+IV Outpatient | 71250 CPT | $1,608 | $1,367 | $54.48 – $1,576 | — | |
| 93075 CT CHEST W/O IV ORAL ONLY Outpatient | 71250 CPT | $1,608 | $1,367 | $54.48 – $1,576 | — | |
| 93077 CT ABD PELV W/ IV CONT Outpatient | 74177 CPT | $3,726 | $3,167 | $182 – $3,651 | — | |
| 93079 CT ABD PELV W/ IV+ORAL CONT Outpatient | 74177 CPT | $3,726 | $3,167 | $182 – $3,651 | — | |
| CT ABD+PELV ORAL ONLY Outpatient | 74176 CPT | $2,687 | $2,284 | $124 – $2,633 | — | |
| CT ABD+PELV W/O NO O/IV Outpatient | 74176 CPT | $2,687 | $2,284 | $124 – $2,633 | — | |
| CT CHEST W/ CONTRAST Outpatient | 71260 CPT | $2,377 | $2,020 | $91.40 – $2,329 | — | |
| CT CHEST W/CONTR-- Outpatient | 71260 CPT | $2,377 | $2,020 | $91.40 – $2,329 | — |