CT head without contrast at San Dimas Community Hospital. CPT 70450.
What San Dimas Community Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$133cash price (self-pay)
$6,964list price
$94.42–$6,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Heritage Provider Network Inc | Heritage Provider Network Medi-Cal | $94.42 |
| LA Care Health Plan | L A Care Health Plan Medi-cal | $94.42 |
| Molina Healthcare | Molina Medi-Cal | $94.42 |
| Traditional Medi-cal | Traditional Medi-Cal | $94.42 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medi-cal | $94.42 |
| Health Net of CA | Health Net Of CA Medi-Cal | $101 |
| RIOS | RIOS Medicare | $127 |
| Citrus Valley Physicians Group | Citrus Valley Physicians Group Commer | $134 |
| Citrus Valley Physicians Group | Citrus Valley Physicians Group Medi-c | $134 |
| Citrus Valley Physicians Group | Citrus Valley Physicians Group Medica | $134 |
| Elite Health Plan | Elite Health Plan (Medicare) | $134 |
| Health Excel Inc | Health Excel Inc Medicare | $134 |
| Health Net of CA | Health Net Federal Services Tricare | $134 |
| Health Net of CA | Health Net Of CA Cal Mediconnect | $134 |
| Health Net of CA | Health Net Of CA Medicare | $134 |
| Heritage Provider Network Inc | Heritage Provider Network Medicare | $134 |
| LA Care Health Plan | LA Care Health Plan Covered CA and Covered Direc | $134 |
| LA Care Health Plan | LA Care Health Plan Duals Cal MediConnect | $134 |
| LA Care Health Plan | LA Care Health Plan Medicare | $134 |
| Molina Healthcare | Molina Exchange | $134 |
| Molina Healthcare | Molina Medicare | $134 |
| Optum Health Plan | Optum Health Plan Medicare | $134 |
| Patient Choice Health Plan | Patient Choice Health Plan Medicare | $134 |
| Primecare Medical Network | Primecare Medical Network Medicare | $134 |
| Renal Payer Solutions | Renal Payer Solutions Medicare | $134 |
| Traditional Medicare | Traditional Medicare | $134 |
| Tricare | Tricare | $134 |
| UHC | UHC Medicare | $134 |
| Imperial Health Plan Inc | Imperial Health Plan Medicare | $142 |
| Heritage Provider Network Inc | Heritage Provider Network Commercial I | $167 |
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