CT head without contrast at Community Hospital of Bremen. CPT 70450.
What Community Hospital of Bremen publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$892cash price (self-pay)
$1,373list price
$221–$1,785range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | IN Medicaid HCC | $221 |
| Anthem | IN Medicaid HIP | $221 |
| Humana | Pathways for Aging | $221 |
| MHS | IN Medicaid HHW | $221 |
| MHS | IN Medicaid HIP | $221 |
| MdWise | IN Medicaid HHW | $221 |
| MdWise | IN Medicaid HIP | $221 |
| UHC | Pathways for Aging | $221 |
| Anthem | Exchange | $323 |
| Aetna | Medicare Advantage | $426 |
| Anthem | Medicare Advantage | $426 |
| Anthem | Workers Compensation | $426 |
| Caresource | Exchange | $426 |
| Humana | Medicare Advantage | $426 |
| MHS | Exchange | $426 |
| UHC | Medicare Advantage | $426 |
| VA Optum | VA | $426 |
| Anthem | Pathway Essentials | $549 |
| Plain Church | Commercial | $549 |
| Immergrun | Commercial | $687 |
| Anthem | Commercial PPO | $752 |
| Anthem | Commercial Trad | $826 |
| Cigna Sagamore | Commercial | $954 |
| Cigna Sagamore | PPO | $954 |
| CHA | Employer Group 4 | $961 |
| Caresource | IN Medicaid HIP | $1,003 |
| Medishare Multiplan | Commercial | $1,030 |
| PHP | Commercial | $1,030 |
| Priority Health | Commercial | $1,030 |
| Aetna | Commercial | $1,038 |
Inpatient
$892cash price (self-pay)
$1,373list price
$687–$1,785range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Immergrun | Commercial | $687 |
| Anthem | Commercial PPO | $730 |
| Anthem | Commercial Trad | $827 |
| Cigna Sagamore | Commercial | $954 |
| Cigna Sagamore | PPO | $954 |
| CHA | Employer Group 4 | $961 |
| Medishare Multiplan | Commercial | $1,030 |
| PHP | Commercial | $1,030 |
| Priority Health | Commercial | $1,030 |
| Aetna | Commercial | $1,038 |
| Allied Benefit | Commercial | $1,038 |
| CHA | Commercial | $1,057 |
| Multiplan | Commercial | $1,098 |
| Plain Church | Commercial | $1,098 |
| Cigna Prof Benefit | Commercial | $1,126 |
| Caresource | IN Medicaid HIP | $1,785 |
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