CT head without contrast at Saint Agnes Medical Center. CPT 70450.
What Saint Agnes Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$88.00cash price (self-pay)
$88.00list price
$25.13–$1,526range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal Healthnet | Health Net Medicaid | $71.93 |
| Medi-Cal Blue Cross | Anthem Medicaid | $76.45 |
| Medi-Cal Healthnet | Adventist Medicaid | $82.43 |
| Correctcare Integrated Health | Correct Care Integrated Health Medicai | $102 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $132 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $134 |
| Healthnet Medicare Advantage | Healthnet Medicare Advantage | $137 |
| Kaiser Permanente Medicare Advantage | Kaiser Medicare Advantage | $139 |
| Brand New Day Medicare Advantage | Brand New Day Medicare Advantage | $139 |
| Humana Medicare Advantage | Key Medical Group | $139 |
| Wellcare Medicare | Care1st Health Medicare Advantage | $139 |
| Align Senior Care | Ally Senior Care Medicare Advantage | $155 |
| Blue Cross - Federal | Anthem Bc HMO | $279 |
| Blue Cross - In (Anthem) | Anthem Bc HMO | $279 |
| Blue Cross - Mn | Anthem Bc HMO | $279 |
| Blue Cross - IL | Anthem Bc HMO | $279 |
| Blue Cross - Wi (Anthem) | Anthem Bc HMO | $279 |
| Blue Cross - Nv (Anthem) | Anthem Bc HMO | $279 |
| Blue Cross - Nh (Anthem) | Anthem Bc HMO | $279 |
| Blue Cross - Me (Anthem) | Anthem Bc HMO | $279 |
| Blue Cross - Or (Regence) | Anthem Bc HMO | $279 |
| Phcs | Multiplan | $732 |
| Aetna | Aetna | $735 |
| Webtpa | Aetna | $735 |
| BCBS Generic | Blue Shield Commercial | $1,029 |
| Blue Cross - Wy | Blue Shield Commercial | $1,029 |
| Blue Cross - Mi | Blue Shield Commercial | $1,029 |
| Blue Benefit Administrators Of Massachusetts | Blue Shield Commercial | $1,029 |
| Blue Distinction Transplant | Blue Shield Commercial | $1,029 |
| Blue Cross - Nm | Blue Shield Commercial | $1,029 |
Inpatient
$101cash price (self-pay)
$101list price
$25.13–$101range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Or | Medicaid | $31.68 |
| Family Health Network | Medicaid | $35.44 |
| Medicaid - Wy | Medicaid | $35.44 |
| Medicaid - Wi | Medicaid | $35.44 |
| Medicaid - Wv | Medicaid | $35.44 |
| Medicaid - Wa | Medicaid | $35.44 |
| Medicaid - Va | Medicaid | $35.44 |
| Medicaid - Vt | Medicaid | $35.44 |
| Medicaid - Ut | Medicaid | $35.44 |
| Medicaid - NY Ssl | Medicaid | $35.44 |
| Screening For Life | Medicaid | $35.44 |
| Oregon Screenwise | Medicaid | $35.44 |
| Maryland Breast & Cervical Program | Medicaid | $35.44 |
| Pace Of Southwest Michigan | Medicaid | $35.44 |
| Breast Grant-Connecticut | Medicaid | $35.44 |
| Medicaid Oos Nhi | Medicaid | $35.44 |
| Blue Cross - In (Anthem) Medicaid Advantage | Medicaid | $35.44 |
| Medicaid - Ms | Medicaid | $35.44 |
| Medicaid - Mn | Medicaid | $35.44 |
| Medicaid - Ok | Medicaid | $35.44 |
| Medicaid - Oh | Medicaid | $35.44 |
| Medicaid - Nd | Medicaid | $35.44 |
| Medicaid - Nc | Medicaid | $35.44 |
| Medicaid - NY | Medicaid | $35.44 |
| Medicaid - Nm | Medicaid | $35.44 |
| Medicaid - Nj | Medicaid | $35.44 |
| Medicaid - Dc | Medicaid | $35.44 |
| Medicaid - De | Medicaid | $35.44 |
| Medicaid - Ct | Medicaid | $35.44 |
| Rx Allwin | Medicare | $39.27 |
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