Paul Oliver Memorial Hospital — CT scan prices
← Hospital overviewVerified from Paul Oliver Memorial 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.
26 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 93073 CT CHEST W/O NO ORAL+IV Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| 93077 CT ABD PELV W/ IV CONT Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — | |
| 93079 CT ABD PELV W/ IV+ORAL CONT Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — | |
| CT ABD + PELVIS KIDNEY STONE W/O Outpatient | 74176 CPT | $2,524 | $2,145 | $168 – $2,398 | — | |
| CT ABD + PELVIS W/O CONT (NO ORAL-NO IV) Outpatient | 74176 CPT | $2,524 | $2,145 | $168 – $2,398 | — | |
| CT ABD+PELV ORAL ONLY Outpatient | 74176 CPT | $2,524 | $2,145 | $168 – $2,398 | — | |
| CT ABD+PELV W/O NO O/IV Outpatient | 74176 CPT | $2,524 | $2,145 | $168 – $2,398 | — | |
| CT ABDOMEN + PELVIS W/CONTRAST (ORAL+IV) Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — | |
| CT CHEST + ABD W/O CONT (NO ORAL-NO IV) Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT CHEST + ABDOMEN W/ IV CONT (NO ORAL) Outpatient | 71260 CPT | $2,231 | $1,896 | $124 – $2,119 | — | |
| CT CHEST + ABDOMEN W/O IV (ORAL ONLY) Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT CHEST ABD PELVIS W/IV CONT (NO ORAL) Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — | |
| CT CHEST W/ CONTRAST Outpatient | 71260 CPT | $2,231 | $1,896 | $124 – $2,119 | — | |
| CT CHEST W/O CONTRAST Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT CHEST W/O CONTRAST ION PROTOCOL Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT ENTEROGRAPHY Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — | |
| CT ESOPHAGRAM CHEST/ABD W/O (ORAL ONLY) Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT Exams Outpatient | 70450 CPT | $1,479 | $1,257 | $73.78 – $1,405 | — | |
| CT Exams Outpatient | 74176 CPT | $2,524 | $2,145 | $168 – $2,398 | — | |
| CT Exams Outpatient | 71260 CPT | $2,231 | $1,896 | $124 – $2,119 | — | |
| CT Exams Outpatient | 74178 CPT | $4,077 | $3,465 | $246 – $3,873 | — | |
| CT Exams Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT Exams Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — | |
| CT LUNG CANCER SCREENING INTERVAL F/U Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT LUNGS HIGH RESOLUTION Outpatient | 71250 CPT | $1,510 | $1,284 | $73.78 – $1,435 | — | |
| CT VENOGRAM ABD + PEL W/ CONTRAST Outpatient | 74177 CPT | $3,497 | $2,972 | $246 – $3,322 | — |