CT head without contrast at Advocate Good Samaritan Hospital. CPT 70450.
What Advocate Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$785cash price (self-pay)
$1,570list price
$161–$1,256range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Medicare Advantage | $161 |
| Molina | Medicare Advantage | $161 |
| Oscar Health HMO | Medicare Advantage | $166 |
| HSTechnology | Medicare Advantage | $213 |
| Advocate Employee | Commercial | $619 |
| Cigna | Commercial | $653 |
| Cigna One Health | Commercial | $653 |
| United Healthcare | HMO | $718 |
| United Healthcare Charter | Commercial | $718 |
| United Healthcare Core Navigate | Commercial | $718 |
| United Healthcare Nexus | Commercial | $718 |
| Blue Cross Blue Shield City of Chicago | Commercial | $934 |
| Aetna | Commercial | $941 |
| Blue Cross Blue Shield Choice | Commercial | $1,010 |
| Blue Cross Blue Shield | PPO | $1,063 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,214 |
| Blue Cross Blue Shield | HMO | $1,237 |
| Multiplan | Commercial | $1,256 |
| Private Healthcare Systems | Commercial | $1,256 |
Inpatient
$785cash price (self-pay)
$1,570list price
$686–$1,256range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $686 |
| Private Healthcare Systems | Commercial | $973 |
| Multiplan | Commercial | $1,256 |
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