CPT 1026F

(EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) Cost

Compare real (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) prices at 217 hospitals across 32 states. See self-pay cash prices, list prices, and insured costs — sourced directly from hospital price transparency files.

Hospitals

217

across 32 states

Average List Price

$17

nationwide average

Average Cash Price

$0

discounted cash rate

Price Range

$0 – $25

lowest to highest

(EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) costs an average of $0 (cash/self-pay price) across the United States, based on data from 217 hospitals reporting to MyCareCost. Prices range from $0 to $25 depending on the hospital and facility type. These figures come from hospital machine-readable price transparency files published under federal CMS rules, not estimates.

(EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) Cost by State

Select a state to see hospital-level pricing for (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap).

(EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) Cost in Major Cities

What Affects (EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) Cost?

The cost of (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) across the United States depends on several factors, including the type of facility, whether you have insurance, and local market dynamics.

One of the biggest drivers of (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) cost is where you get the scan. Hospital outpatient departments commonly charge 2–3x what independent imaging centers charge for the identical procedure. The equipment and radiologists are often comparable, but hospital facility fees dramatically increase the total.

Based on data from 217 hospitals across the United States, (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) prices range from $0 to $25 — a 25.0x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hospital vs. Outpatient Center Pricing

Across the United States, (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) is available at both hospital outpatient departments and independent imaging centers. The price difference between these settings is often the single largest factor in your total bill.

Hospital outpatient departments include a facility fee that independent centers don't charge. This fee alone can add $200–$1,500+ to the cost of a (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap). The clinical quality of the scan is generally comparable between settings when performed by qualified technologists.

Before scheduling, ask your referring physician whether an independent center is appropriate for your clinical situation. For routine diagnostic imaging, many patients achieve significant savings at freestanding centers.

Self-Pay vs. Insurance Cost Differences

If you're paying out of pocket for (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) across the United States, you may be able to negotiate a rate lower than the hospital's published list price. Federal law requires hospitals to post cash-pay rates, making it easier to compare options before scheduling.

Across the United States, the average cash price for (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) is $0, which is 99% lower than the average list price of $17. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

For insured patients, the negotiated rate between your plan and the hospital determines your cost share. If you haven't met your deductible, you may pay more than the cash price. It's worth asking the hospital whether their self-pay rate is lower than what your insurance would charge — some patients save money by not filing a claim.

Related Procedure Costs

Frequently Asked Questions About (EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) Costs

How much does (EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) cost across the United States?
The average cash price for (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) across the United States is $0. Prices range from $0 to $25 depending on the hospital and whether you pay cash or use insurance.
Why do (EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) prices vary so much across the United States?
Hospital prices for (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) across the United States differ based on facility type (hospital vs. independent center), negotiated insurance rates, hospital overhead, and local market competition. Hospitals with less nearby competition tend to charge more.
Can I get a cheaper (EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP) by paying cash?
Yes. Across the United States, the average cash price for (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) is $0, which is 99% below the average list price of $17. Many hospitals offer additional discounts if you pay upfront.
Does insurance cover (EG, INCLUDES ASSESSMENT FOR PRESENCE OR ABSENCE OF: MALIGNANCY, LIVER DISEASE, CONGESTIVE HEART FAILURE, CEREBROVASCULAR DISEASE, RENAL DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, DIABETES, OTHER CO-MORBID CONDITIONS) (CAP)?
Most health insurance plans cover (eg, includes assessment for presence or absence of: malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, other co-morbid conditions) (cap) when medically necessary and ordered by a physician. Your out-of-pocket cost depends on your deductible, copay, and coinsurance, and whether the provider is in-network. Contact your insurer for a pre-authorization estimate.

Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.