CT head without contrast at Lodi Memorial Hospital Association. CPT 70450.
What Lodi Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated August 2, 2026.
Outpatient / ER
$11.06cash price (self-pay)
$2,353list price
$22.36–$7,834range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hp Healthy Kids Pro Fee | Hp Healthy Kids Pro Fee | $42.07 |
| Hp Mcal Pro Fee | Hp Mcal Pro Fee | $111 |
| Bc Mcal | Bc Mcal | $117 |
| Alignment Health Plan (Ahp)-All Plans | Alignment Health Plan (Ahp)-Al | $138 |
| Blue Shield Mcare Adv | Blue Shield Mcare Adv | $138 |
| Healthnet Mcare | Healthnet Mcare | $138 |
| Hp Of San Joaquin Mcr Adv | Hp Of San Joaquin Mcr Adv | $138 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $138 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $138 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $138 |
| UHC Mcr Adv | UHC Mcr Adv | $138 |
| Cca Health Plan Mcr Adv- All Plans | Cca Health Plan Mcr Adv- All Plan | $138 |
| Knnex Health - All Plans | Knnex Health - All Plans | $165 |
| Kaiser Mcal | Kaiser Mcal | $166 |
| Medi-Cal | Medi-Cal | $166 |
| UHC HMO | UHC HMO | $175 |
| UHC Jll | UHC Jll | $175 |
| Celtic Ins Company - All Plans | Celtic Ins Company - All Plans | $186 |
| Hp Of San Joaquin Mcal | Hp Of San Joaquin Mcal | $207 |
| Healthnet Mcal | Healthnet Mcal | $237 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $248 |
| Bright Health - All Plans | Bright Health - All Plans | $276 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $762 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $791 |
| Kaiser Commercial - All Other Plans | Kaiser Commercial - All Other Pl | $965 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $977 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $1,156 |
| Networks By Design- All Plans | Networks By Design- All Plans | $1,177 |
| Blue Cross Exchange | Blue Cross Exchange | $1,326 |
| Blue Cross Non-Mcs - All Other Plans | Blue Cross Non-Mcs - All Other | $1,474 |
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