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CT Scans

Estimated Average Prices for Procedures

These prices are for John C. Lincoln Health Network services performed at hospitals and facilities and DO NOT INCLUDE physicians' fees. If you would like an estimated average price for a specific location, please call: 623-434-6287.

The chart includes the following information:

  • The average charge for the procedure.
  • The average Arizona Health Care Cost Containment System (AHCCCS) payment John C. Lincoln Health Network receives for this procedure.
  • The average Medicare payment John C. Lincoln Health Network receives for this procedure.

Please select your procedure from the list below.

CPT Code CPT Code Description
70450 CT SCAN, HEAD/BRAIN, W/O CONTRAST MATL
71275 CT ANGIO, CHEST, COMBO, INCL IMAGE PROC
70470 CT SCAN HEAD COMBO
70460 T SCAN HEAD CONTRAST
71250 CT SCAN, THORAX, W/O CONTRAST
74177 CT SCAN, ABDOMENT AND PELVIS, W CONTRAST
74176 CT SCAN, ABDOMENT AND PELVIS, W/O CONTRAST
72191 CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC
74178 CT SCAN, ABDOMENT AND PELVIS, COMBO
75635 CT ANGIO AORTOBIFEMORAL, COMBO

Average Costs and Payments

70450 - CT SCAN, HEAD/BRAIN, W/O CONTRAST MATL
Average Charge: $777
Average Payment with AHCCCS: $183
Average Payment with Medicare: $186

71275 - CT ANGIO, CHEST, COMBO, INCL IMAGE PROC
Average Charge: $1,492
Average Payment with AHCCCS: $333
Average Payment with Medicare: $330

70470 - CT SCAN HEAD COMBO
Average Charge: $1,272
Average Payment with AHCCCS: $291
Average Payment with Medicare: $326

70460 - CT SCAN HEAD CONTRAST
Average Charge: $741
Average Payment with AHCCCS: $295
Average Payment with Medicare: $351

71250 - CT SCAN,THORAX,W/O CONTRAST
Average Charge: $1,785
Average Payment with AHCCCS: $191
Average Payment with Medicare: $226

74177 - CT SCAN,ABDOMENT AND PELVIS,W CONTRAST
Average Charge: $979
Average Payment with AHCCCS: $378
Average Payment with Medicare: $565

74176 - CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST
Average Charge: $623
Average Payment with Medicare: $390

72191 - CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC
Average Charge: $4,465
Average Payment with AHCCCS: $1,023
Average Payment with Medicare: $675

74178 - CT SCAN,ABDOMENT AND PELVIS,COMBO
Average Charge: $1,045
Average Payment with AHCCCS: $327
Average Payment with Medicare: $502

75635 - CT ANGIO AORTOBIFEMORAL, COMBO
Average Charge: $1,828
Average Payment with Medicare: $310