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CT head without contrast at Springfield Memorial Hospital. CPT 70450.

What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.

Outpatient / ER

$3,138cash price (self-pay)
$3,138list price
$79.37–$3,138range insurers pay
Insurance planNegotiated rate
Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du$103
BCBS Medicare Advantage | BCBS Medicare Advantage$105
Aetna | Aetna Medicare Advantage$110
HealthLink | HealthLink EPO$412
Blue Cross Blue Shield | BCBS HMO/PHAI$706
Health Alliance | Health Alliance ACA$1,004
Cigna | Cigna PPO$1,041
Commercial Workers Compensation | Commercial Workers Compensation$1,048
Illinois Workers Compensation | Illinois Workers Compensation$1,103
Current Health Network PPO | Current Health Network PPO$1,412
Aetna | Aetna PPO$1,437
Health Alliance | Health Alliance MHS Employee Health Plan HMO$1,443
Health Alliance | Health Alliance Coordinated Care Plan (CCP)$1,632
PHCS/MultiPlan | PHCS Savility PPO$1,695
HealthLink | HealthLink HMO$1,789
Health Alliance | Health Alliance Self Funded$1,817
6 Degrees Health | 6 Degrees Health$1,883
Hst | Hst$1,883
HopeTrust | HopeTrust$1,883
Humana | Humana PPO$1,883
Magellan | Magellan PPO$1,883
PHCS/MultiPlan | PHCS/MultiPlan PPO$1,883
UnitedHealthCare | UnitedHealthCare PPO$1,946
HealthLink | HealthLink PPO$1,977
Consociate | Consociate PPO$2,040
Health Alliance | Health Alliance Gated PPO$2,040
HFN | HFN Platinum PPO$2,040
Hfn | Hfn PPO$2,040
Preferred Plan | Preferred Plan PPO$2,354
SOI McFarland | SOI McFarland PPO$2,354

Inpatient

$3,138cash price (self-pay)
$3,138list price
$1,255–$3,138range insurers pay
Insurance planNegotiated rate
Health Alliance | Health Alliance ACA$1,255
Health Alliance | Health Alliance MHS Employee Health Plan HMO$1,443
PHCS/MultiPlan | PHCS Savility PPO$1,695
Health Alliance | Health Alliance Gated PPO$1,726
Health Alliance | Health Alliance Self Funded$1,817
6 Degrees Health | 6 Degrees Health$1,883
HopeTrust | HopeTrust$1,883
Hst | Hst$1,883
Humana | Humana PPO$1,883
Magellan | Magellan PPO$1,883
PHCS/MultiPlan | PHCS/MultiPlan PPO$1,883
HFN | HFN Platinum PPO$2,040
Hfn | Hfn PPO$2,040
Preferred Plan | Preferred Plan PPO$2,354
SOI McFarland | SOI McFarland PPO$2,354
SOI Rushville | SOI Rushville PPO$2,354
Methodist First Choice | Methodist First Choice PPO$2,510
Mutual Medical Plans | Mutual Medical Plans PPO$2,667
Blue Cross Blue Shield | BCBS HMO/PHAI$3,138
Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA$3,138
BCBS | Blue Cross Memorial Health System$3,138
Liability | Liability$3,138
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All common services at Springfield Memorial Hospital