CT head without contrast at Evans Memorial Hospital. CPT 70450.
What Evans Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
—cash price (self-pay)
$3,315list price
$91.17–$2,818range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare | HMO | $91.17 |
| Ambetter | EPO | $119 |
| Caresource Commercial | EPO | $128 |
| Caresource Medicaid | HMO | $513 |
| Amerigroup Medicaid | HMO | $522 |
| Peach State Medicaid | HMO | $523 |
| Cigna | PPO | $1,989 |
| United Healthcare | PPO | $2,155 |
| Aetna Commercial | PPO | $2,818 |
Inpatient
—cash price (self-pay)
$3,315list price
$2,155–$2,277range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | PPO | $2,155 |
| Cigna | PPO | $2,277 |
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