CT head without contrast at Spencer Municipal Hospital. CPT 70450.
What Spencer Municipal Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$860cash price (self-pay)
$1,146list price
$100–$1,089range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Medicare Advantage | $100 |
| Aetna | Medicare Advantage (HMO & PPO) | $100 |
| Wellmark | Medicare Advantage | $101 |
| Humana | Medicare Advantage (ALL) | $101 |
| Wellpoint | Medicaid | $102 |
| Iowa Total Care | Medicaid | $102 |
| Molina | Medicaid | $102 |
| UHC | Medicare Advantage | $130 |
| Wellmark | HMO | $834 |
| Wellmark | PPO | $916 |
| Health Partners | ALL | $917 |
| Aetna | Commercial HMO | $1,031 |
| UHC Commercial | ALL | $1,031 |
| Aetna | Commercial PPO | $1,089 |
| Humana | Commercial | $1,089 |
| Midlands Choice | All | $1,089 |
Inpatient
$860cash price (self-pay)
$1,146list price
$90.06–$1,089range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Advantage | $90.06 |
| Wellpoint | Medicare Advantage | $100 |
| Aetna | Medicare Advantage (HMO & PPO) | $100 |
| Wellmark | Medicare Advantage | $101 |
| Humana | Medicare Advantage (ALL) | $101 |
| Wellpoint | Medicaid | $102 |
| Iowa Total Care | Medicaid | $102 |
| Molina | Medicaid | $102 |
| Wellmark | HMO | $834 |
| Wellmark | PPO | $916 |
| Health Partners | ALL | $917 |
| Aetna | Commercial HMO | $1,031 |
| UHC Commercial | ALL | $1,031 |
| Aetna | Commercial PPO | $1,089 |
| Humana | Commercial | $1,089 |
| Midlands Choice | All | $1,089 |
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