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Delaware

Cost of a Chest CT Scan Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's concentrated healthcare market, dominated by three major health systems serving the nation's second-smallest state, creates unique pricing dynamics for medical imaging. Patients seeking a Chest CT Scan typically pay between $61 and $273, with a median out-of-pocket cost of $177 based on negotiated insurance rates. With 205 active Chest CT Scan providers across Delaware's three counties, patients can browse all available options to find the most cost-effective care for their specific insurance plan.

Average

$170

Median

$177

Lowest

$61

Highest

$273

Providers

205

National avg: $302Delaware: $170

44% below national average

Compare Similar Procedures

How does ct chest compare to related procedures in Delaware?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$98$340$596199
MRI Knee

MRI of the knee without contrast

73721$63$215$399201
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$66$203$363187
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$73$225$651103

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 71260CT chest with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 71260 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 71260 (CT chest with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 71260 covers: the provider's professional fee for ct chest. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Chest CT Scan Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above the national average, driven by the state's proximity to high-cost metropolitan markets like Philadelphia and Baltimore. The First State's compact geography concentrates most specialty care in New Castle County, creating pricing pressures from limited competition and high regional wages.

Urban vs. Rural Provider Availability

Most of Delaware's imaging facilities cluster around Wilmington and Newark, leaving residents in southern Delaware with fewer options and longer travel times. This geographic concentration allows northern providers to maintain higher pricing due to convenience factors, while southern Delaware patients may face additional costs for travel to access specialized chest imaging services.

Facility Type and Overhead Costs

Delaware's healthcare landscape is dominated by ChristianaCare, Bayhealth, and Nemours health systems, with their hospital-based imaging centers typically charging premium rates. Independent radiology practices and freestanding imaging centers offer more competitive pricing but have limited presence outside the Wilmington metropolitan area.

Insurance Market Competition in Delaware

The state's insurance market shows moderate concentration with Highmark, Aetna, and UnitedHealthcare controlling most of the commercial market share. This limited competition reduces insurers' negotiating leverage with large health systems, contributing to higher negotiated rates that ultimately increase patient out-of-pocket costs for imaging services.

Physician Supply and Demand in Delaware

With 205 active Chest CT Scan providers serving a population of nearly one million, Delaware maintains adequate radiologist availability relative to its size. However, the concentration of specialists in northern Delaware creates access challenges for residents in Kent and Sussex counties, potentially driving up wait times and costs in underserved areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Chest CT Scan Costs in Delaware

What is the average cost of a Chest CT Scan visit in Delaware without insurance?

Without insurance, Chest CT Scan costs in Delaware range from $61 to $273, with a median price of $177 based on negotiated insurance rates. Self-pay patients may qualify for cash discounts of 20-40% at many facilities, potentially reducing these costs significantly. Many Delaware imaging centers also offer payment plans to help manage the expense of uninsured chest imaging studies.

Does Delaware Medicaid cover Chest CT Scan visits?

Yes, Delaware Medicaid covers medically necessary Chest CT Scans as the state expanded Medicaid coverage under the Affordable Care Act. Prior authorization may be required for non-emergency imaging to verify medical necessity. Medicaid patients typically have no out-of-pocket costs for approved chest CT procedures when using in-network providers.

How do I find an affordable Chest CT Scan near me in Delaware?

Compare prices at freestanding imaging centers versus hospital-based facilities, as independent centers often offer lower rates due to reduced overhead costs. Ask about self-pay discounts if you're uninsured, and consider traveling to facilities outside Wilmington where competition may drive down pricing. Community health centers in Kent and Sussex counties may also provide referrals to lower-cost imaging options.

What is the difference in cost between an initial consultation and a follow-up visit?

Chest CT Scans are imaging procedures rather than consultation visits, so the cost remains consistent at $61-$273 regardless of whether it's your first scan or a follow-up study. However, the radiologist interpretation fee and any additional consultation with referring physicians may vary. Follow-up scans for monitoring known conditions are typically covered the same as initial diagnostic imaging.

Can I use an HSA or FSA to pay for a Chest CT Scan visit in Delaware?

Yes, Chest CT Scans qualify as eligible medical expenses under both Health Savings Accounts and Flexible Spending Accounts when medically necessary. You can use HSA or FSA funds to pay deductibles, copays, and coinsurance associated with chest imaging. Keep receipts and documentation from your Delaware provider for tax and reimbursement purposes.

How does telemedicine affect the cost of seeing a Chest CT Scan in Delaware?

While the actual chest CT scan must be performed in person at an imaging facility, telemedicine can reduce overall costs by enabling remote consultation for results review and follow-up care. Some Delaware radiologists offer virtual consultations to discuss imaging findings, eliminating travel time and facility fees for routine follow-up appointments. Telehealth consultations typically cost 20-30% less than in-person visits.

Click a state to compare costs

Average Visit Cost

$131
$2,723

Office visit (CPT 71260)

Compare With Other States

RankStateAverage
1North Dakota
Range: $118$7,881
$2,723
2Minnesota
Range: $80$7,881
$2,711
3Wisconsin
Range: $73$863
$363
4Georgia
Range: $61$699
$319
5Wyoming
Range: $54$598
$287
6Nevada
Range: $80$453
$272
7Maine
Range: $93$439
$262
8Nebraska
Range: $108$415
$246
9Hawaii
Range: $67$348
$243
10New Mexico
Range: $52$505
$242
11Iowa
Range: $73$424
$237
12Vermont
Range: $49$516
$236
13North Carolina
Range: $60$443
$233
14New Hampshire
Range: $67$446
$232
15Massachusetts
Range: $64$454
$230
16Rhode Island
Range: $54$454
$226
17Alaska
Range: $54$449
$224
18District of Columbia
Range: $49$454
$223
19Colorado
Range: $55$441
$218
20Utah
Range: $54$374
$212
21California
Range: $25$521
$210
22Indiana
Range: $54$411
$206
23New York
Range: $42$443
$205
24Washington
Range: $54$384
$203
25Michigan
Range: $57$356
$195
26Illinois
Range: $64$346
$192
27Tennessee
Range: $61$333
$188
28Pennsylvania
Range: $50$389
$185
29West Virginia
Range: $64$317
$184
30Virginia
Range: $41$371
$182
31Idaho
Range: $54$321
$182
32New Jersey
Range: $41$371
$181
33Connecticut
Range: $54$389
$179
34Texas
Range: $54$345
$178
35South Carolina
Range: $54$339
$178
36Kansas
Range: $59$324
$178
37Oregon
Range: $70$291
$177
38South Dakota
Range: $134$222
$175
39Alabama
Range: $48$332
$173
40Delaware
Range: $61$273
$170
41Louisiana
Range: $48$288
$169
42Kentucky
Range: $54$335
$169
43Arkansas
Range: $61$278
$164
44Montana
Range: $54$263
$163
45Maryland
Range: $24$335
$161
46Mississippi
Range: $48$307
$160
47Missouri
Range: $64$265
$159
48Oklahoma
Range: $51$298
$154
49Ohio
Range: $41$298
$154
50Arizona
Range: $54$267
$145
51Florida
Range: $35$297
$131
CT Chest in Other States