CT head without contrast at Banner Page Hospital. CPT 70450.
What Banner Page Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$53.72cash price (self-pay)
$1,908list price
$54.45–$1,813range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $79.00 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 |
| Health Choice Arizona, Inc. | Medicaid | $79.00 |
| Health Net | Medicaid | $79.00 |
| Mercy Care | Mercy Medicaid | $79.00 |
| Aetna | Banner Employee Plans | $358 |
| Plotkin Health | Plotkin Health | $457 |
| Banner Health | Medicare Advantage | $538 |
| Aetna | Medicare Advantage | $538 |
| Arizona Physicians IPA | Medicare Advantage | $538 |
| Banner University Health Plan | Medicare Advantage | $538 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $538 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $538 |
| Gila River Health Care Corporation | Managed Care Program | $538 |
| Health Choice Arizona, Inc. | Medicare Advantage | $538 |
| Health Net | Medicare | $538 |
| Kaiser Foundation Health Plan | Medicare Advantage | $538 |
| Mercy Care | Mercy Care Advantage | $538 |
| Carekin | Medicare Advantage | $565 |
| Humana | Medicare Advantage | $570 |
| Arizona Priority Care | Medicare Advantage | $591 |
| Devoted Health Services | Medicare Advantage | $591 |
| Gold Kidney Health Plan | Medicare Advantage | $591 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $626 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance/BXBSAZ Blue HPN | $668 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $701 |
| Aetna | Joint Venture | $737 |
| Coconino County Sheriff's Department | Commercial | $741 |
| Health Choice Arizona, Inc. | ACA Health Plan | $807 |
| Health Net | Commerical Exchange Product | $812 |
Inpatient
$53.72cash price (self-pay)
$1,015list price
$54.45–$1,813range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Plotkin Health | Plotkin Health | $457 |
| Quiktrip Corporation | Commercial | $710 |
| Coconino County Sheriff's Department | Commercial | $741 |
| Aetna | Medical Rental | $904 |
| Provider Network of America | Commercial | $913 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $934 |
| Arizona Medical Network | Commercial | $953 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $964 |
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