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Pennsylvania

Cost of a Chest CT Scan Visit
in Pennsylvania

Reviewed by Momentary Medical Group West PC

Pennsylvania's healthcare landscape features concentrated markets in Philadelphia and Pittsburgh, creating significant cost variations for medical imaging services across the state. Chest CT Scan procedures typically range from $50 to $389, with most patients paying around $115 out-of-pocket based on negotiated insurance rates. With over 2,000 active imaging providers throughout Pennsylvania, patients have extensive options for finding affordable care in both urban centers and rural communities.

Average

$185

Median

$115

Lowest

$50

Highest

$389

Providers

2,029

National avg: $302Pennsylvania: $185

39% below national average

Compare Similar Procedures

How does ct chest compare to related procedures in Pennsylvania?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$57$215$8791,970
MRI Knee

MRI of the knee without contrast

73721$55$134$5061,965
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$55$132$5271,641
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$76$215$7531,669

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 Pennsylvania

Pennsylvania's healthcare costs run approximately 9% above national averages, driven by the state's concentrated urban markets and extensive rural geography requiring diverse service delivery models. The dual metropolitan focus on Philadelphia and Pittsburgh creates cost disparities compared to Pennsylvania's 67 rural counties with limited specialist access.

Urban vs. Rural Provider Availability

Philadelphia and Pittsburgh metro areas concentrate most of Pennsylvania's advanced imaging capabilities, while rural counties often require patients to travel significant distances for Chest CT Scan services. This geographic disparity creates higher transportation costs for rural patients but may offer lower facility fees outside metropolitan areas. The state's mountainous regions and scattered population centers limit competition among imaging providers in many areas.

Facility Type and Overhead Costs

Hospital-based outpatient imaging in Pennsylvania carries significantly higher facility fees due to hospital overhead and staffing requirements compared to independent imaging centers. Major health systems like UPMC and Penn Medicine operate extensive imaging networks with standardized pricing that often exceeds independent practice rates. Academic medical centers in Pennsylvania typically charge premium rates due to their teaching hospital status and advanced equipment investments.

Insurance Market Competition in Pennsylvania

Highmark, Independence Blue Cross Shield, and United Healthcare control most of Pennsylvania's commercial insurance market, creating varied negotiated rate structures across different regions. The competitive Philadelphia market often yields better insurance negotiations compared to rural areas with limited insurer presence. Pennsylvania's regulatory environment allows significant rate variation between urban and rural markets based on local competition levels.

Physician Supply and Demand in Pennsylvania

With over 2,000 active imaging providers, Pennsylvania maintains adequate radiology capacity in urban areas but faces shortages in rural regions requiring telemedicine interpretations. This robust provider network in metropolitan areas creates competitive pricing pressure while rural areas may command premium rates due to limited access. Wait times for non-urgent Chest CT Scans average 1-2 weeks in cities but may extend longer in underserved rural counties.

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 Pennsylvania

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

Uninsured patients in Pennsylvania typically pay between $50 and $389 for a Chest CT Scan, with most facilities charging around $115. Hospital-based imaging centers often charge significantly more than independent radiology practices. Many facilities offer cash-pay discounts of 20-50% for uninsured patients who pay upfront.

Does Pennsylvania Medicaid cover Chest CT Scan visits?

Yes, Pennsylvania expanded Medicaid covers medically necessary Chest CT Scans through the state's managed care organizations. Prior authorization is typically required for non-emergency imaging procedures. Coverage includes both the technical component performed by the imaging facility and professional component for radiologist interpretation.

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

Compare costs between hospital-based imaging centers and independent radiology practices, as independent facilities often charge 50-70% less. Ask about cash-pay discounts if you're uninsured, and consider community health centers that may offer sliding fee scales. Rural facilities sometimes offer lower rates than urban centers, though travel costs should be factored in.

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

Chest CT Scan procedures typically involve the same imaging cost regardless of whether it's initial or follow-up imaging, with most patients paying around $115 based on negotiated insurance rates. However, additional consultation fees with referring physicians may vary between new patient visits and established patient follow-ups. The imaging portion remains consistent at $50-389 depending on facility type and location.

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

Yes, Chest CT Scan procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars for both the imaging procedure and any related consultation fees. Keep receipts and documentation of medical necessity for reimbursement purposes.

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

Telemedicine cannot replace the actual CT imaging procedure, but telehealth consultations for reviewing results or follow-up discussions typically cost $50-150 less than in-person visits. Pennsylvania expanded telehealth coverage during recent years, making remote consultations more accessible and affordable. Some radiologists offer telehealth consultations for discussing imaging findings, reducing overall care costs.

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