Price Checker / CPT 70490
How much does CT Scan Soft Tissue Neck Without Contrast cost?
CPT 70490 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 15x the fair price — among the most extreme markups. Dispute this.
Fair price
$220–$450
What this should cost
With insurance
~$94,200
Typical out-of-pocket
Overcharged if over
$560
Push back above this
The average hospital charge of $5,018 is $4,678 over the fair price (about 15x the fair rate).
What hospitals charge for CT Scan Soft Tissue Neck Without Contrast
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Decatur Morgan Hospital SE, AL | $61,520 | — | 41012% |
| Stone County Medical Center MOUNTAIN VIEW, AR | $300 | — | 7050% |
| Cornerstone Specialty Hospitals Bossier City Bossier City, LA | $5,128 | — | 3327% |
| Cornerstone Specialty Hospitals Huntington Huntington, WV | $5,128 | — | 3327% |
| Cornerstone Specialty Hospitals Muskogee Muskogee, OK | $5,128 | — | 3327% |
| Cornerstone Specialty Hospitals Tucson Tucson, AZ | $5,128 | — | 3327% |
| Cornerstone Specialty Hospitals West Monroe West Monroe, LA | $5,128 | — | 3327% |
| Solara Specialty Hospital Mcallen Mc Allen, TX | $5,128 | — | 3327% |
| Cornerstone Hospital Conroe Conroe, TX | $4,214 | — | 2716% |
| Cornerstone Specialty Hospitals Broken Arrow Broken Arrow, OK | $3,938 | — | 2532% |
| 23330 Emergency Center, LLC d/b/a/ Elite Hospital Kingwood Kingwood, TX | $3,507 | — | 2244% |
| Memorial Hospital of Carbon County RAWLINS, WY | $2,951 | $2,213 | 1872% |
| Kearney County Hospital , NE | $2,202 | $1,762 | 1372% |
| Medical Center Barbour EUFAULA, AL | $2,100 | $1,050 | 1303% |
| Owensboro Health Muhlenberg Community Hospital Greenville, KY | $2,324 | — | 1298% |
Were you billed for this procedure?
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About CT Scan Soft Tissue Neck Without Contrast
CPT code 70490 refers to ct scan soft tissue neck without contrast (billing description: "Ct soft tissue neck w/o dye"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $150 in a facility (hospital or surgery center) and $150 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.