CT head without contrast at West Suburban Medical Center. CPT 70450.
What West Suburban Medical Center publishes for this service, straight from its standard-charges file, last updated March 17, 2025.
Outpatient / ER
$1,173cash price (self-pay)
$3,450list price
$105–$2,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | PPO | $105 |
| Blue Cross | Blue Advantage MMAI | $108 |
| Humana | MMAI | $108 |
| Aetna | Medicare Advantage HMO/PPO | $111 |
| Ambetter | Marketplace | $111 |
| Blue Cross | Medicare Advantage | $111 |
| Cigna Healthspring | Medicare Advantage | $111 |
| Humana | Medicare Advantage Gold Plan | $111 |
| Longevity | Medicare Advantage | $111 |
| Wellcare | Medicare Advantage | $111 |
| Zing | Medicare Advantage | $111 |
| Oscar | Medicare Advantage | $113 |
| Golden Rule | All Commercial Plans | $136 |
| United Healthcare | All Other Commercial Plans | $136 |
| United Healthcare | Navigate | $136 |
| Aetna | EPO/HMO/POS/PPO/Choice/NAP | $147 |
| Cigna | All Commercial Plans | $240 |
| NALC | All Commercial Plans | $240 |
| Blue Cross | HMO | $512 |
| Blue Cross | Precision HMO | $574 |
| Aetna Rental Network | All Plans | $2,243 |
Inpatient
$1,173cash price (self-pay)
$3,450list price
$2,243–$2,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Rental Network | All Plans | $2,243 |
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