CT head without contrast at Dodge County Hospital Authority. CPT 70450.
What Dodge County Hospital Authority publishes for this service, straight from its standard-charges file, last updated May 14, 2026.
Outpatient / ER
—cash price (self-pay)
$1,074list price
$91.17–$967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | HMO | $91.17 |
| UHC Medicare Advantage | HMO | $91.17 |
| Humana Medicare PPO | PPO | $91.17 |
| Peach State Medicaid | HMO | $167 |
| Amerigroup Medicaid | PPO | $191 |
| UHC Commercial | PPO | $256 |
| BCBS PPO/Par | PPO | $446 |
| Aetna | PPO | $806 |
| BCBS Pathway/HMO | HMO | $822 |
| Cigna | PPO | $967 |
Inpatient
—cash price (self-pay)
$1,074list price
$1.00–$573range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | PPO | $1.00 |
| UHC Commercial | PPO | $1.00 |
| Peach State Medicaid | HMO | $1.00 |
| BCBS PPO/Par | PPO | $446 |
| Amerigroup Medicaid | PPO | $573 |
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