$7,115 on the chargemaster. $128 in estimated CT-department cost.

The same CT scan has a $7,115 sticker and a $128 department-level cost estimate at one New York hospital.

St. Anthony Community Hospital publishes CPT 74177 as a $7,115 outpatient facility gross charge.

Its FY2023 Medicare cost report says the CT department reported $0.018023 of cost for each $1 charged. Apply that department ratio to the published charge and the estimate is $128.

That is a 55.5× gap, the largest among 17 comparable New York hospitals that explicitly labeled the service as outpatient, facility and gross, and published one dollar value.

This does not mean an insurer paid $7,115. Gross charge is the sticker, not the negotiated price. And $128 is a department-level estimate, not a receipt for one scan.

But if your hospital's public list price sits 55.5× above its own reported CT cost relationship, the chargemaster is not explaining what care costs. It is documenting how far the opening number has drifted from it.