Stanford Health Care Tri-Valley — CT scan prices
← Hospital overviewVerified from Stanford Health Care Tri-Valley’s published price file
Includes cash prices, list prices. 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.
13 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CT Abdomen-Pelvis W Contrast Inpatient | 74177 HCPCS | $14,289 | $5,716 | — | — | |
| CT Abdomen-Pelvis W Contrast Outpatient | 74177 HCPCS | $10,284 | $4,114 | — | — | |
| CT Abdomen-Pelvis WO Contrast Inpatient | 74176 HCPCS | $10,887 | $4,355 | — | — | |
| CT Abdomen-Pelvis WO Contrast Outpatient | 74176 HCPCS | $9,307 | $3,723 | — | — | |
| CT Abdomen-Pelvis WO/W Contrast Outpatient | 74178 HCPCS | $10,979 | $4,392 | — | — | |
| CT Abdomen-Pelvis WO/W Contrast Inpatient | 74178 HCPCS | $17,783 | $7,113 | — | — | |
| CT Head WO Contrast Inpatient | 70450 HCPCS | $5,927 | $2,371 | — | — | |
| CT Head WO Contrast Outpatient | 70450 HCPCS | $3,922 | $1,569 | — | — | |
| CT Head/Brain W Contrast Inpatient | 70460 HCPCS | $6,431 | $2,572 | — | — | |
| CT Head/Brain W Contrast Outpatient | 70460 HCPCS | $4,916 | $1,966 | — | — | |
| CT Thorax W Contrast Inpatient | 71260 HCPCS | $7,778 | $3,111 | — | — | |
| CT Thorax W Contrast Outpatient | 71260 HCPCS | $4,709 | $1,884 | — | — | |
| CT Thorax W/O Contrast Inpatient & outpatient | 71250 HCPCS | $3,641 | $1,456 | — | — |