CPT71260

CT Chest With Contrast Cost in South Carolina

Ct thorax dx c+

$346Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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South Carolina Medicare physician rate (2026)

-6.0% vs national

Single statewide locality.

South Carolina (Hospital)
$156.65
Facility physician fee
Private plan est.
$204–$313
~130–200% of Medicare
Cash / self-pay est.
$125–$235
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$264
$167 physician + $97 facility
Physician fee alone
$167
Only 48% of the hospital total

Choosing a surgery centre over a hospital saves about $82 on the Medicare allowed amount for ct chest with contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in South Carolina

Check your ZIP code for your region of South Carolina, whether Charleston and the Lowcountry, Columbia and the Midlands, Greenville-Spartanburg in the Upstate, or Myrtle Beach and the Grand Strand.

What ct chest with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in South Carolina moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs South Carolina

National office$166.67
National hospital (physician)$166.67
South Carolina vs national6% below the national office rate of $166.67

Where South Carolina ranks for this CPT

Rank (lowest physician fee first)#16 of 51
Lowest stateArkansas ($147.46)
Highest stateAlaska ($192.38)

CT Chest With Contrast and how South Carolina is priced

South Carolina prices through one statewide locality with indices a bit below the national average, so Charleston, Columbia, Greenville, and the rural Pee Dee share the same Medicare-approved amounts. Rapid coastal growth has not led CMS to break out a separate locality, keeping the fee schedule uniform from the mountains to the sea islands. The single set of adjustments makes the statewide figures here directly usable anywhere in the state. Facility fees at hospital-owned locations remain the largest source of price variation for patients.

The state's medical firepower splits three ways: an academic medical center and strong hospital market in Charleston, the capital-region systems in Columbia, and a large Upstate network centered on Greenville. Retiree-heavy coastal areas like Hilton Head and Myrtle Beach have booming demand for Medicare-age care, while the rural I-95 corridor faces some of the state's worst access gaps. Some border residents use Charlotte or Augusta providers.

This procedure: A chest CT with contrast adds an IV injection of iodine dye during the scan to light up blood vessels, lymph nodes, and masses in the chest. It is preferred when evaluating enlarged lymph nodes, suspected cancer spread, or vascular structures. The scan itself takes under a minute; the appointment runs about 30 minutes including IV placement, and the dye causes a brief warm flush that patients often feel in odd places.

What Is CT Chest With Contrast?

A chest CT with contrast adds an IV injection of iodine dye during the scan to light up blood vessels, lymph nodes, and masses in the chest. It is preferred when evaluating enlarged lymph nodes, suspected cancer spread, or vascular structures. The scan itself takes under a minute; the appointment runs about 30 minutes including IV placement, and the dye causes a brief warm flush that patients often feel in odd places.

What Affects the Cost

  • The iodinated contrast is a separate supply charge on top of the scan fee.
  • A kidney function blood test may be required before contrast in older patients or those with kidney risk, adding a lab charge.
  • Hospital versus freestanding center pricing gaps for contrast CT are just as wide as for any advanced imaging.
  • Patients with prior contrast reactions may need pre-medication protocols or an alternative study, changing the cost picture.
  • The radiologist's fee for a contrast-enhanced study runs higher than for the plain version.

Questions to Ask Before Booking

  • 1.Does my authorization specify a contrast-enhanced chest CT?
  • 2.Will I need a kidney function test first, and is that billed to me?
  • 3.How much is the contrast agent itself on your bills?
  • 4.What is the global price at a freestanding imaging center?
  • 5.If I react to dye or my kidneys disqualify me, what happens to the study and the charges?

CT Chest With Contrast in South Carolina: questions

South Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 71260 is $156.65 in an office and $156.65 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. South Carolina uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $31 for the office physician line or $31 for the hospital physician line in South Carolina. Medigap may cover that 20%. This is not the hospital facility fee.

No. $156.65 is only the physician's share. Adding Medicare's facility payment brings the total to about $346 in a hospital outpatient department, or about $264 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. South Carolina ranks #16 of 51 states on the physician line (6% below the national office rate of $166.67).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.