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Massachusetts

Cost of a Chest CT Scan Visit
in Massachusetts

Reviewed by Momentary Medical Group West PC

Massachusetts leads the nation with the highest percentage of insured residents at 97.5%, yet patients still face significant cost variations for specialized imaging services. Chest CT Scan procedures in the Bay State typically range from $64 to $454 based on negotiated insurance rates, with a median cost of $171 across 1,801 active imaging providers. Massachusetts patients benefit from robust provider networks spanning from Boston's academic medical centers to community hospitals in the Berkshires, allowing for meaningful cost comparison when browsing all providers in Massachusetts.

Average

$230

Median

$171

Lowest

$64

Highest

$454

Providers

1,801

National avg: $302Massachusetts: $230

24% below national average

Compare Similar Procedures

How does ct chest compare to related procedures in Massachusetts?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$90$552$1,0601,770
MRI Knee

MRI of the knee without contrast

73721$70$327$5901,753
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$74$368$5901,481
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$80$299$8961,427

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 Massachusetts

Massachusetts healthcare costs run approximately 20% above the national average, driven by the state's concentration of prestigious academic medical centers and high cost of living throughout the Greater Boston region. The Commonwealth's pioneering role in healthcare reform has created a mature insurance market with extensive provider networks but also premium pricing structures.

Urban vs. Rural Provider Availability

The Boston metropolitan area boasts exceptional imaging facility density, with world-renowned hospitals like Massachusetts General and Brigham and Women's offering advanced chest CT capabilities alongside numerous outpatient centers. Rural areas in Western Massachusetts and the Berkshires have fewer options, often requiring patients to travel to Springfield or Albany for specialized imaging services.

Facility Type and Overhead Costs

Hospital-based outpatient imaging departments in Massachusetts typically charge 40-60% more than independent imaging centers due to higher overhead and facility fees. Major health systems like Partners HealthCare (now Mass General Brigham) and Boston Medical Center operate extensive networks that can command premium rates from insurers.

Insurance Market Competition in Massachusetts

The state's three dominant insurers - BCBS Massachusetts, Tufts Health Plan, and Harvard Pilgrim - maintain competitive tension that has historically kept rate increases moderate compared to other northeastern states. However, their strong negotiating position with smaller imaging centers can create wide cost variations depending on which insurer you carry.

Physician Supply and Demand in Massachusetts

With 1,801 active chest CT scan providers statewide, Massachusetts enjoys robust radiologist availability that exceeds national averages per capita. This healthy supply helps moderate costs in competitive markets like Boston, though wait times remain minimal and pricing power still favors prestigious academic centers with specialized expertise.

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 Massachusetts

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

Without insurance, chest CT scans in Massachusetts typically cost between $64 and $454, with a median price of $171 based on negotiated rates from 1,801 providers statewide. These costs represent what insurance companies actually pay, so uninsured patients may face higher list prices but can often negotiate cash-pay discounts. Many imaging centers offer self-pay rates that are competitive with these insurance-negotiated amounts, especially if you can pay at the time of service.

Does Massachusetts Medicaid cover Chest CT Scan visits?

Yes, MassHealth (Massachusetts Medicaid) covers medically necessary chest CT scans when ordered by an enrolled provider, thanks to the state's expanded Medicaid program. Coverage includes both diagnostic scans for symptoms and preventive lung cancer screening for qualifying high-risk patients. Prior authorization may be required depending on the clinical indication, and patients typically face minimal or no out-of-pocket costs for covered imaging services.

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

Compare prices between hospital-based imaging centers and independent facilities, as standalone centers often charge 30-50% less than hospital outpatient departments. Ask about cash-pay discounts if you're uninsured, and consider traveling outside the Boston metro area where costs tend to be lower. Community health centers and federally qualified health centers may also offer sliding scale pricing based on income.

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

Chest CT scans are primarily imaging procedures rather than consultation visits, so the cost remains consistent at $64-$454 regardless of whether it's your first scan or a follow-up study. However, if you need to see a pulmonologist or other specialist to discuss results, initial consultation visits typically cost more than follow-up appointments. The imaging itself is priced based on the technical procedure rather than the consultation complexity.

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

Yes, chest CT scans are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This applies to both diagnostic scans ordered for symptoms and preventive lung cancer screening for eligible patients. Keep your receipts and explanation of benefits for tax documentation, as medical imaging is considered an essential healthcare service under IRS guidelines.

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

While the chest CT scan itself must be performed in person at an imaging facility, telemedicine consultations can reduce overall costs by allowing you to discuss results with radiologists or specialists remotely. Massachusetts has strong telemedicine coverage requirements, with many insurers covering virtual follow-up visits at the same rate as in-person consultations. This can save you time and money on follow-up appointments while maintaining quality care coordination.

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