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Procedure price report · Other CT scan

CT scan of the soft tissues of the neck, no contrast

CPT 70490the billing code this page is about

A CT scan of the soft tissues of the neck, such as glands, muscles, and airway, taken without injected contrast dye.

Hospitals typically charge $1,145 cash for this outpatient procedure — the median across 3,332 hospitals that filed a usable cash price; the average of the middle 60% is $1,200. Most fall between $551 and $2,098 (20th–80th percentile).

Hospitals
3,332
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,332 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$332$643$1,145$1,886$3,059

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($332 vs $3,059).

How the prices are spread

$170 – $238: 63 hospitals$170$238 – $333: 105 hospitals$333 – $466: 172 hospitals$333$466 – $652: 338 hospitals$652 – $913: 420 hospitals$652$913 – $1,277: 591 hospitals$1,277 – $1,786: 576 hospitals$1,277$1,786 – $2,499: 442 hospitals$2,499 – $3,496: 196 hospitals$2,499$3,496 – $4,890: 97 hospitals$3,496median $1,145price bands are equal on a log scale
Hospitals per price band (3,000 of 3,332 — the bands cover the 5th to 95th percentile)
FromToHospitals
$170$23863
$238$333105
$333$466172
$466$652338
$652$913420
$913$1,277591
$1,277$1,786576
$1,786$2,499442
$2,499$3,496196
$3,496$4,89097

Against Medicare

Medicare pays (OPPS 2026, national rate)$107
Median cash price$1,145
Cash as a multiple of Medicare10.7×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,145.

Alaska: median $1,729 across 17 hospitalsAK$1,729Maine: median $609 across 25 hospitalsME$609Vermont: median $2,038 across 12 hospitalsVT$2,038New Hampshire: median $1,296 across 22 hospitalsNH$1,296Washington: median $1,193 across 70 hospitalsWA$1,193Idaho: median $819 across 21 hospitalsID$819Montana: median $1,120 across 19 hospitalsMT$1,120North Dakota: median $1,227 across 29 hospitalsND$1,227Minnesota: median $910 across 100 hospitalsMN$910Illinois: median $1,745 across 135 hospitalsIL$1,745Wisconsin: median $1,184 across 108 hospitalsWI$1,184Michigan: median $1,003 across 87 hospitalsMI$1,003New York: median $724 across 100 hospitalsNY$724Massachusetts: median $1,203 across 52 hospitalsMA$1,203Oregon: median $1,005 across 46 hospitalsOR$1,005Nevada: median $1,486 across 21 hospitalsNV$1,486Wyoming: median $1,135 across 14 hospitalsWY$1,135South Dakota: median $2,358 across 42 hospitalsSD$2,358Iowa: median $1,277 across 85 hospitalsIA$1,277Indiana: median $631 across 96 hospitalsIN$631Ohio: median $995 across 143 hospitalsOH$995Pennsylvania: median $896 across 113 hospitalsPA$896New Jersey: median $396 across 57 hospitalsNJ$396Connecticut: median $1,138 across 19 hospitalsCT$1,138Rhode Island: median $807 across 10 hospitalsRI$807California: median $2,044 across 215 hospitalsCA$2,044Utah: median $1,501 across 40 hospitalsUT$1,501Colorado: median $1,122 across 66 hospitalsCO$1,122Nebraska: median $2,013 across 81 hospitalsNE$2,013Missouri: median $935 across 75 hospitalsMO$935Kentucky: median $1,272 across 67 hospitalsKY$1,272West Virginia: median $739 across 42 hospitalsWV$739Virginia: median $932 across 71 hospitalsVA$932Maryland: median $177 across 38 hospitalsMD$177Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $735 across 53 hospitalsAZ$735New Mexico: median $1,039 across 29 hospitalsNM$1,039Kansas: median $1,005 across 87 hospitalsKS$1,005Arkansas: median $444 across 38 hospitalsAR$444Tennessee: median $639 across 78 hospitalsTN$639North Carolina: median $1,363 across 95 hospitalsNC$1,363South Carolina: median $1,546 across 52 hospitalsSC$1,546Oklahoma: median $871 across 71 hospitalsOK$871Louisiana: median $737 across 54 hospitalsLA$737Mississippi: median $752 across 49 hospitalsMS$752Alabama: median $944 across 42 hospitalsAL$944Georgia: median $916 across 109 hospitalsGA$916Hawaii: median $1,253 across 17 hospitalsHI$1,253Texas: median $1,561 across 241 hospitalsTX$1,561Florida: median $2,421 across 173 hospitalsFL$2,421
Cash price by state, most expensive first. National median $1,145. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL173$2,421+111%$991 – $9,571
South Dakota SD42$2,358+106%$1,956 – $3,144
California CA215$2,044+78%$1,009 – $3,436
Vermont VT12$2,038+78%$1,045 – $2,854
Nebraska NE81$2,013+76%$1,276 – $2,426
Illinois IL135$1,745+52%$800 – $2,566
Alaska AK17$1,729+51%$1,172 – $2,924
Texas TX241$1,561+36%$819 – $3,008
South Carolina SC52$1,546+35%$984 – $1,969
Utah UT40$1,501+31%$1,053 – $1,765
Nevada NV21$1,486+30%$618 – $2,171
North Carolina NC95$1,363+19%$878 – $1,892
New Hampshire NH22$1,296+13%$826 – $2,891
Iowa IA85$1,277+12%$944 – $1,603
Kentucky KY67$1,272+11%$691 – $1,906
Hawaii HI17$1,253+9%$993 – $1,553
North Dakota ND29$1,227+7%$970 – $1,459
Massachusetts MA52$1,203+5%$612 – $1,659
Washington WA70$1,193+4%$631 – $1,636
Wisconsin WI108$1,184+3%$537 – $1,525
Connecticut CT19$1,138−1%$412 – $1,568
Wyoming WY14$1,135−1%$651 – $2,268
Colorado CO66$1,122−2%$669 – $2,224
Montana MT19$1,120−2%$872 – $1,478
New Mexico NM29$1,039−9%$778 – $1,613
Oregon OR46$1,005−12%$856 – $1,509
Kansas KS87$1,005−12%$650 – $1,574
Michigan MI87$1,003−12%$422 – $1,614
Ohio OH143$995−13%$615 – $1,390
Alabama AL42$944−18%$474 – $2,182
Missouri MO75$935−18%$675 – $1,655
Virginia VA71$932−19%$576 – $2,126
Georgia GA109$916−20%$568 – $1,570
Minnesota MN100$910−21%$564 – $1,561
Pennsylvania PA113$896−22%$154 – $2,062
Oklahoma OK71$871−24%$689 – $1,243
Idaho ID21$819−28%$720 – $1,101
Rhode Island RI10$807−30%$177 – $1,041
Mississippi MS49$752−34%$565 – $1,066
West Virginia WV42$739−35%$560 – $1,494
Louisiana LA54$737−36%$294 – $1,176
Arizona AZ53$735−36%$260 – $5,864
New York NY100$724−37%$131 – $1,907
Tennessee TN78$639−44%$353 – $1,355
Indiana IN96$631−45%$406 – $1,369
Maine ME25$609−47%$384 – $1,141
Arkansas AR38$444−61%$384 – $1,016
New Jersey NJ57$396−65%$125 – $536
Maryland MD38$177−85%$123 – $246
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,145.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,351$1,114$520 – $2,224
Children’s63$1,553$1,080 – $2,454
Critical access908$1,184$680 – $1,911
Ownership
For-profit484$1,750$707 – $6,640
Government607$1,095$582 – $1,822
Non-profit2,231$1,108$535 – $1,956
System affiliation
Part of a system2,740$1,157$560 – $2,177
Independent592$1,059$534 – $1,856

Cash price vs list price

Median list price (chargemaster)$1,955
Median cash price$1,145
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,261 hospitals filed a usable inpatient cash price for this code. The median is $1,198 and the average of the middle 60% is $1,234; most fall between $605 and $2,069.

Cash price percentiles, inpatient, across 2,261 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$385$707$1,198$1,896$2,751

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($385 vs $2,751).

Of the 2,512 hospitals that filed this code inpatient, 2,261 gave a usable cash price; 143 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 108 a list price only.

How complete is this

3,332 of the 3,956 hospitals with a price file in our corpus (84%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,685 hospitals that filed this code at all gave us
Usable cash price — counted3,332
Cash price carrying a plausibility flag — shown on the compare tool, excluded here231
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded121
Hospitals that filed this code3,685

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other CT scan family.

Hospitals file this code under descriptions such as CT Soft Tissue Neck W/O Contrast Material|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “CT scan of the soft tissues of the neck, no contrast (CPT 70490) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-70490-ct-scan-of-the-soft-tissues-of-the-neck-no-contrast