|
|
|
|
Head, Neck, Spine |
|
| Diagnostic |
CT scan head or brain without contrast |
$1,156 |
| Diagnostic |
CT scan head or brain with contrast |
$1,377 |
| Diagnostic |
CT scan of head or brain before and after contrast |
$1,520 |
| Diagnostic |
CT scan of cranial cavity without contrast |
$1,189 |
| Diagnostic |
CT scan of cranial cavity with contrast |
$1,445 |
| Diagnostic |
CT scan of cranial cavity before and after contrast |
$1,587 |
| Diagnostic |
CT scan of face without contrast |
$1,161 |
| Diagnostic |
CT scan of face with contrast |
$1,403 |
| Diagnostic |
CT scan of face before and after contrast |
$1,579 |
| Diagnostic |
CT scan of soft tissue of neck without contrast |
$1,176 |
| Diagnostic |
CT scan of soft tissue of neck with contrast |
$1,418 |
| Diagnostic |
CT scan of soft tissue of neck before and after contrast |
$1,648 |
| Diagnostic |
CT scan of blood vessels of head with contrast |
$1,691 |
| Diagnostic |
CT scan of blood vessels of neck with contrast |
$1,721 |
| Diagnostic |
CT scan of upper spine without contrast |
$1,345 |
| Diagnostic |
CT scan of upper spine with contrast |
$1,577 |
| Diagnostic |
CT scan of upper spine before and after contrast |
$1,670 |
| Diagnostic |
CT scan of middle spine without contrast |
$1,336 |
| Diagnostic |
CT scan of middle spine with contrast |
$1,521 |
| Diagnostic |
CT scan of middle spine before and after contrast |
$1,695 |
| Diagnostic |
CT scan of lower spine without contrast |
$1,305 |
| Diagnostic |
CT scan of lower spine with contrast |
$1,581 |
| Diagnostic |
CT scan of lower spine before and after contrast |
$1,758 |
| Diagnostic |
CT scan of cornea |
$126 |
|
|
|
|
Chest, Abdomen, Pelvis |
|
| Diagnostic |
CT scan of chest without contrast |
$1,137 |
| Diagnostic |
CT scan of chest with contrast |
$1,488 |
| Diagnostic |
CT scan of chest before and after contrast |
$1,741 |
| Diagnostic |
Low dose CT scan of chest for lung cancer screening |
$239 |
| Diagnostic |
CT scan of blood vessels of chest with contrast |
$1,800 |
| Diagnostic |
CT scan of blood vessels of pelvis with contrast |
$1,579 |
| Diagnostic |
CT scan of pelvis without contrast |
$1,155 |
| Diagnostic |
CT scan of pelvis with contrast |
$1,448 |
| Diagnostic |
CT scan of pelvis before and after contrast |
$1,610 |
| Diagnostic |
CT scan of abdomen without contrast |
$1,162 |
| Diagnostic |
CT scan of abdomen with contrast |
$1,499 |
| Diagnostic |
CT scan of abdomen before and after contrast |
$1,741 |
| Diagnostic |
CT scan of blood vessels of abdomen and pelvis with contrast |
$2,602 |
| Diagnostic |
CT scan of blood vessels of abdomen with contrast |
$1,812 |
| Diagnostic |
CT scan of abdomen and pelvis without contrast |
$2,135 |
| Diagnostic |
CT scan of abdomen and pelvis with contrast |
$2,624 |
| Diagnostic |
CT scan of abdomen and pelvis before and after contrast |
$2,921 |
| Diagnostic |
Diagnostic CT scan of large intestine without contrast |
$732 |
| Diagnostic |
Diagnostic CT scan of large intestine with contrast |
$949 |
| Diagnostic |
Screening CT scan of large intestine |
$1,135 |
| Diagnostic |
CT scan of heart with evaluation of blood vessel calcium |
$197 |
| Diagnostic |
CT scan of heart structure with contrast |
$992 |
| Diagnostic |
CT scan of congenital heart structure defect with contrast |
$1,076 |
| Diagnostic |
CT scan of blood vessels and grafts of heart with contrast |
$1,251 |
| Diagnostic |
CT scan of abdominal aorta and both leg arteries with contrast |
$1,838 |
|
|
|
|
Arm, Leg, Shoulder |
|
| Diagnostic |
CT scan of arm without contrast |
$1,127 |
| Diagnostic |
CT scan of arm with contrast |
$1,422 |
| Diagnostic |
CT scan of arm before and after contrast |
$1,553 |
| Diagnostic |
CT scan of blood vessels of arm with contrast |
$1,560 |
| Diagnostic |
CT scan of leg without contrast |
$1,126 |
| Diagnostic |
CT scan of leg with contrast material |
$1,383 |
| Diagnostic |
CT scan of leg before and after contrast |
$1,578 |
| Diagnostic |
CT scan of blood vessels of lower leg with contrast |
$1,576 |
|
|
|
|
General |
|
| Diagnostic |
Limited or follow-up CT scan |
$560 |
| Diagnostic |
Other CT scan |
$328 |
| Diagnostic |
CT scan for measuring calcium and other minerals in bone |
$285 |
