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CT head without contrast at Providence Little Co of Mary Med Center San Pedro. CPT 70450.

What Providence Little Co of Mary Med Center San Pedro publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,428cash price (self-pay)
$4,079list price
$134–$808range insurers pay
Insurance planNegotiated rate
Aetna | Medicare Managed Care Plan$134
Humana | Medicare Managed Care Plan$137
Blue Cross | Anthem Vivity City Of La Other Commercial Plan$141
Caremore | Medicare Managed Care Plan$148
Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan$159
La Care Health Plan | Covered Ca Exchange$175
Unitedhealthcare | All Commercial Plans$179
Unitedhealthcare | Select/Navigate Hmo$179
Healthnet | Ambetter Hmo$249
Healthnet | Ambetter Ppo$288
Aetna | All Commercial Plans$359
Blue Shield | Epn/Ifp Benefit Exchange$418
Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo$452
Blue Shield | Hmo$505
Blue Shield | Ppo/Epo$505
Blue Cross | All Commercial Plans$690
Blue Shield | Medicare Managed Care Plan$808
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All common services at Providence Little Co of Mary Med Center San Pedro