CT head without contrast at Dominican Hospital. CPT 70450.
What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$3,014cash price (self-pay)
$6,698list price
$145–$5,693range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|All Plans | $145 |
| COSC Psych | Medicaid|All Plans | $145 |
| Central California Alliance for Health | Medicaid|All Plans | $145 |
| Blue Shield CA | Medicare|All Plans | $146 |
| Health Net | Medicare|All Plans | $146 |
| Kaiser | Medicare|All Plans | $146 |
| United | Medicare|All Plans | $146 |
| Blue Shield CA | Commercial|DHMF | $167 |
| Health Net | Medicaid|< 21 | $220 |
| Health Net | Medicaid|> 21 | $220 |
| United | Commercial|All Other Plans | $245 |
| United | Commercial|HMO | $245 |
| United | Commercial|Non-Options PPO | $245 |
| United | Commercial|Options PPO | $245 |
| Sutter Health | Commercial|All Plans | $457 |
| Aetna | Commercial|HMO | $1,852 |
| Aetna | Commercial|PPO | $1,852 |
| Cigna | Commercial|LocalPlus | $2,468 |
| Cigna | Commercial|All Other Plans | $2,625 |
| BCBS - Anthem | Commercial|All Other Plans | $2,792 |
| BCBS - Anthem | Commercial|MCS | $3,900 |
| Kaiser | Commercial|All Plans | $4,354 |
| Western Growers | Commercial|All Plans | $4,689 |
| Healthsmart | Commercial|All Plans | $5,358 |
| First Health | Commercial|All Plans | $5,693 |
| Multiplan | Commercial|All Plans | $5,693 |
Inpatient
$3,014cash price (self-pay)
$6,698list price
$5,358–$5,693range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial|All Plans | $5,358 |
| First Health | Commercial|All Plans | $5,693 |
| Multiplan | Commercial|All Plans | $5,693 |
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