CT head without contrast at St. Mary Medical Center. CPT 70450.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$158cash price (self-pay)
$368list price
$92.00–$1,655range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| DHR | Medicaid|< 21 | $92.00 |
| DHR | Medicaid|> 21 | $92.00 |
| Noble IPA | Medicaid|< 21 | $131 |
| Noble IPA | Medicaid|> 21 | $131 |
| BCBS - Anthem | Medicare|All Plans | $135 |
| Blue Shield CA | Medicare|All Other Plans | $135 |
| HCLA | Medicaid|Preferred IPA < 21 | $145 |
| HCLA | Medicaid|Preferred IPA > 21 | $145 |
| Inland Empire Health Plan | Medicaid|All Plans | $145 |
| Partnership Health Plan | Medicaid|< 21 | $145 |
| Partnership Health Plan | Medicaid|> 21 | $145 |
| Preferred IPA | Medicaid|Risk | $145 |
| Angeles IPA | Medicare|All Plans | $145 |
| HCLA | Commercial|Preferred IPA | $169 |
| LA Care | Commercial|All Plans | $169 |
| Health Net | Medicaid|< 21 | $194 |
| Health Net | Medicaid|> 21 | $194 |
| Molina | Medicaid|All Plans | $203 |
| Kaiser | Medicaid|< 21 | $218 |
| Kaiser | Medicaid|> 21 | $218 |
| Blue Shield CA | Medicare|BlueShield Promise | $239 |
| United | Commercial|All Other Plans | $245 |
| United | Commercial|HMO | $245 |
| United | Commercial|Non-Options PPO | $245 |
| United | Commercial|Options PPO | $245 |
| Kaiser | Commercial|All Plans | $258 |
| BCBS - Anthem | Medicaid|All Plans | $282 |
| MultiPlan | Commercial|All Plans | $294 |
| Aetna | Commercial|All Other Plans | $368 |
| Aetna | Commercial|HMO | $368 |
Inpatient
$1,584cash price (self-pay)
$3,683list price
$2,578–$3,683range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $2,578 |
| MultiPlan | Commercial|All Plans | $2,946 |
| SMIPA | Medicare|All Plans | $3,683 |
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