CT head without contrast at Pali Momi Medical Center. CPT 70450.
What Pali Momi Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$1,059cash price (self-pay)
$1,765list price
$73.85–$1,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alohacare | Abd - Pediatric | $73.85 |
| Alohacare | Abd - Adult | $73.85 |
| Ohana | Quest - Abd | $76.00 |
| Mdx | All Products | $103 |
| Alohacare | Medicare Advantage | $104 |
| Hmsa | Medicare Advantage | $104 |
| Mdx | UHC Medicare | $104 |
| Mdx | Humana Medicare | $104 |
| Ohana | Medicare Advantage | $108 |
| Devoted | Medicare Advantage | $109 |
| Ohana | Quest - Non-Abd | $126 |
| Alohacare | Non-Abd - Pediatric | $139 |
| Alohacare | Non-Abd - Adult | $139 |
| Blended Rate UHC | All Products | $139 |
| Hmsa | Quest Abd | $139 |
| UHC | All Products | $139 |
| Hmsa | Quest Non-Abd | $169 |
| Hwmg/Hmaa | All Products | $179 |
| Hcha | All Products | $266 |
| Verdegard | Union Trust Fund | $266 |
| Pac Admin | All Products | $287 |
| Hmsa | All Products | $311 |
| Uha | All Products | $397 |
| Calvos | Select Care | $1,324 |
| Mimoh | All Products | $1,324 |
| Kaiser | All Products | $1,412 |
| Coventry | All Products | $1,500 |
| Mccp | All Products | $1,500 |
| Multiplan | All Products | $1,500 |
Inpatient
$1,059cash price (self-pay)
$1,765list price
$1,324–$1,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | All Products | $1,412 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.