CT head without contrast at UnityPoint Health - Iowa Lutheran Hospital. CPT 70450.
What UnityPoint Health - Iowa Lutheran Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$101cash price (self-pay)
$274list price
$37.24–$1,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $79.01 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $80.59 |
| Molina | Medicare Advantage | $80.59 |
| Humana | Medicare Advantage | $82.96 |
| Amerivantage | Medicare Advantage | $82.96 |
| United Healthcare | Medicare Advantage | $82.96 |
| Iowa Total Care | Managed Medicaid | $102 |
| Amerigroup | Managed Medicaid | $102 |
| United Healthcare | HMO | $114 |
| United Healthcare | PPO | $114 |
| Wellmark UPH Self-Funded | Commercial | $132 |
| Wellmark Blue Cross and Blue Shield | HMO | $132 |
| Wellmark Blue Cross and Blue Shield | PPO | $155 |
| Health Partners Open Network | Commercial | $155 |
| Cigna/Midlands | Commercial | $169 |
| Aetna | HMO | $195 |
| Aetna | PPO | $226 |
| Medica Exchange Inspire | Commercial | $897 |
| Medica Exchange Insure | Commercial | $1,005 |
Inpatient
$2,155cash price (self-pay)
$2,694list price
$1,166–$1,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $1,166 |
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All common services at UnityPoint Health - Iowa Lutheran Hospital