CT head without contrast at Mease Countryside Hospital. CPT 70450.
What Mease Countryside Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,655cash price (self-pay)
$4,425list price
$86.25–$4,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Clear Health Alliance | Medicaid HMO | $209 |
| United Healthcare | Medicaid HMO | $211 |
| Humana | Medicaid HMO | $215 |
| Molina Healthcare | Medicaid HMO | $217 |
| Simply HealthCare | Medicaid HMO | $217 |
| Sunshine Health | Medicaid HMO | $217 |
| Freedom Health | Medicaid HMO | $217 |
| Aetna | Medicaid HMO | $221 |
| Florida Community Care | Medicaid HMO | $228 |
| Molina | Medicare HMO | $797 |
| Simply Healthcare | Medicare HMO | $797 |
| Freedom | Medicare HMO | $885 |
| Optimum | Medicare HMO | $885 |
| CarePlus | Medicare HMO | $1,011 |
| Aetna | Commercial Other | $1,068 |
| Aetna | Commercial HMO | $1,156 |
| Cigna | Commercial HMO | $1,254 |
| Blue Cross | Commercial HMO My Blue | $1,297 |
| Ultimate Health Plan | Medicare HMO | $1,328 |
| AvMed | Commercial Other | $1,372 |
| Blue Cross | Commercial HMO Simply Blue | $1,701 |
| Blue Cross | Commercial PPO Blue Select | $1,755 |
| Cigna | Commercial PPO | $2,015 |
| Blue Cross | Commercial HMO Health Options | $2,072 |
| AvMed | Commercial | $2,168 |
| Blue Cross | Commercial PPO Network Blue | $2,183 |
| Evolutions | Commercial Prime Network Products | $2,213 |
| Ambetter | Commercial Select Core | $2,333 |
| Blue Cross | Commercial PPO PHS | $2,342 |
| Ambetter | Commercial Value | $2,349 |
Inpatient
$2,655cash price (self-pay)
$4,425list price
$2,491–$4,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Commercial Other | $2,491 |
| Evolutions | Commercial PPO International | $3,098 |
| United Healthcare | Commercial PPO | $3,465 |
| Aetna | Commercial PPO | $3,606 |
| Evolutions | Commercial PPO Select Network | $3,761 |
| First Health | Commercial PPO | $3,761 |
| Cigna | Commercial PPO | $3,850 |
| Multiplan | Commercial PPO | $3,983 |
| United Healthcare | Indemnity | $3,983 |
| Evolutions | Commercial PPO Choice | $4,115 |
| Ambetter | Commercial Select Core | $4,425 |
| Ambetter | Commercial Value | $4,425 |
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