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Chest CT Scan Cost in the US (2026): What 1,215 Hospitals NegotiatedNPI VERIFIED

Across 1,215 US hospitals that publish federally required price files, the median negotiated rate for a CT scan of the chest is $448 — 2.5× the Medicare outpatient rate of $179. The middle half of hospitals negotiated between $216 and $1,193; the priciest tenth negotiated more than $2,062, 11.9× the cheapest tenth (under $173). Hospitals that list a self-pay price ask a median of $1,412 (964 hospitals).

Code CPT 71260 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-28 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07

National median
$448
all plan types · 1,215 hospitals
Middle half
$216–$1,193
25th–75th percentile of hospitals
Median cash price
$1,412
self-pay · 964 hospitals list one
Medicare baseline
$179
CMS OPPS national · July 2026
These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.
This is the hospital's facility fee. The radiologist who reads the images bills separately.
Coverage: 1,215 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 92 of these 1,215 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance typeHospitalsMedianMiddle half× Medicare
Commercial (plan type not stated)742$1,113$443 – $2,0846.2×
PPO777$1,082$535 – $1,9816.0×
HMO522$710$419 – $1,4984.0×
EPO127$1,055$393 – $2,7655.9×
POS59$761$304 – $1,6304.2×
ACA Marketplace477$402$268 – $9322.2×
Medicare Advantage701$199$175 – $8301.1×
Medicare (as listed)682$186$174 – $3201.0×
Medicaid767$382$196 – $8462.1×
Federal employees (FEP)22$1,497$1,260 – $3,2698.4×
Workers' comp136$830$366 – $2,3454.6×

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

StateHospitalsMedianMiddle halfSpread (shared scale $0–$2,500)× MedicareMedian cash
Alabama17$161$157 – $1700.9×$1,158
Arizona12$202$198 – $6591.1×$701
Arkansas15$524$206 – $6682.9×$1,291
California43$292$227 – $7691.6×$1,764
Colorado8$864$306 – $1,5354.8×$752
Florida48$338$224 – $4221.9×$2,509
Georgia32$339$270 – $1,3641.9×$1,482
Hawaii7$216$175 – $5441.2×$1,353
Idaho11$1,035$741 – $1,2715.8×$1,248
Illinois45$800$389 – $1,6944.5×$2,278
Indiana27$481$362 – $6852.7×$1,364
Iowa47$1,127$869 – $1,5936.3×$1,650
Kansas45$811$580 – $1,1444.5×$1,015
Kentucky43$464$328 – $8562.6×$1,156
Louisiana28$369$242 – $7552.1×$1,276
Maine9$753$386 – $1,3824.2×$966
Maryland9$249$164 – $2721.4×$244
Massachusetts9$413$297 – $9272.3×$1,909
Michigan32$204$174 – $3521.1×$1,071
Minnesota30$1,169$711 – $1,7506.5×$1,559
Mississippi23$163$150 – $2460.9×$1,156
Missouri29$292$177 – $7321.6×$1,339
Montana18$1,389$690 – $2,0887.7×$1,792
Nebraska31$1,519$560 – $2,5508.5×$2,530
Nevada8$307$307 – $8941.7×$3,976
New Hampshire6$644$311 – $1,0133.6×$4,608
New Jersey23$288$240 – $2881.6×$715
New Mexico18$1,246$278 – $1,9187.0×$1,283
New York39$241$219 – $4431.3×$977
North Carolina22$490$179 – $7752.7×$1,366
North Dakota14$1,559$1,182 – $1,7418.7×$1,557
Ohio57$269$182 – $6051.5×$1,166
Oklahoma37$292$162 – $9841.6×$1,252
Oregon22$320$258 – $5281.8×$1,152
Pennsylvania59$229$185 – $7771.3×$1,725
Puerto Rico5$143$136 – $2010.8×$229
Rhode Island5$264$238 – $2991.5×$1,069
South Carolina27$179$174 – $3901.0×$1,895
South Dakota12$2,691$2,301 – $3,04815.0×$3,110
Tennessee23$173$171 – $2261.0×$579
Texas103$632$237 – $1,2953.5×$1,392
Utah21$2,489$1,721 – $2,64813.9×$2,648
Vermont9$1,969$739 – $2,17111.0×$2,465
Virginia19$499$301 – $1,0602.8×$1,029
Washington17$1,080$762 – $1,6126.0×$1,801
West Virginia7$1,782$154 – $2,1309.9×$1,694
Wisconsin27$762$563 – $1,1124.2×$1,486
Wyoming9$1,804$1,437 – $1,94910.1×$1,342

middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $2,500

States with at least 5 hospitals in our data (48 states). 3 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does a CT scan of the chest cost in the US?
Across 1,215 hospitals that publish federally required price files, the median negotiated rate is $448, and the middle half of hospitals fall between $216 and $1,193. Self-pay cash prices have a median of $1,412 across the 964 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Chest CT Scan prices vary so much?
Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 11.9 times what the cheapest tenth did, and state medians run from $143 in Puerto Rico to $2,691 in South Dakota.
Is the cash price cheaper than using insurance?
Sometimes. At 227 of the 964 hospitals that list a cash price (24%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.
What is the Medicare rate shown here?
$179 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 2.5 times it.

Other imaging prices

Brain MRI
median $799 · 1,185 hospitals
Knee MRI
median $567 · 1,191 hospitals
Lower Back MRI
median $528 · 1,186 hospitals
Neck MRI
median $533 · 1,177 hospitals
Head CT Scan
median $303 · 1,227 hospitals
Abdomen & Pelvis CT Scan
median $676 · 1,225 hospitals
Sinus CT Scan
median $296 · 1,215 hospitals
Abdominal Ultrasound
median $217 · 1,213 hospitals
Chest X-Ray
median $112 · 1,210 hospitals
Lower Back X-Ray
median $157 · 1,206 hospitals

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