It varies. Call and tell hem that 1) you're willing to pay cash, and 2) that you'll schedule at THEIR convenience. That helps on both accounts. Of course, you're also going to have to pay for the radiologist to read it.
But if you have any symptoms, the better course is to go to a doctor for a consultation. Getting a scan is probably unnecessary, and if you need a test, my be the wrong test. It would be highly unlikely to have cancer at your age. GERD, Barrett's esophagus, etc. are much more likely. If you're a heavy drinker, you might also be concerned with varices in your lung, quite a serious condition, that should be treated immediately and will likely not show up on a plain CT scan (but will be seen on MRI).
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