CT head without contrast at Franciscan Health Michigan City. CPT 70450.
What Franciscan Health Michigan City publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$631cash price (self-pay)
$3,034list price
$111–$3,034range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Nir-Michigan City | $111 |
| Medicare Replacement [2003] | Medicare-Nir-Michigan City | $111 |
| Blue Cross [1014] | Anthem Blue Access PPO-Cid | $171 |
| Unicare [1150] | Anthem Blue Access PPO-Cid | $171 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO-Cid | $171 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO-Cid | $171 |
| Medicaid Illinois [1091] | In Mcd-Nir-Michigan City | $221 |
| Medicaid [1092] | In Mcd-Nir-Michigan City | $221 |
| Mdwise [1175] | In Mcd-Nir-Michigan City | $221 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Michigan City | $221 |
| Workers Comp [1172] | Workers Comp - Nir - Michigan City | $221 |
| Managed Health Services [1302] | In Mcd Michigan City Mhs 112% Of In M | $228 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $250 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $250 |
| Medicaid [1092] | In Mdc Mi City Caresource 120% Of In Mcd | $265 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $481 |
| Cigna [1037] | Cigna Localplus-Nid | $850 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $1,517 |
| Managed Care [2000] | Lutheran Preferred-Nid & Wid & Cid-Carme | $1,820 |
| Managed Care [2000] | First Health-Nid | $1,820 |
| Commercial [2001] | First Health-Nid | $1,820 |
| Cigna [1037] | Cigna HMO-Nid-Michigan City & Laporte | $1,833 |
| Great West Insurance [1055] | Cigna HMO-Nid-Michigan City & Laporte | $1,833 |
| Managed Care [2000] | Cigna HMO-Nid-Michigan City & Laporte | $1,833 |
| Commercial [2001] | Cigna HMO-Nid-Michigan City & Laporte | $1,833 |
| United Healthcare [1156] | UHC All Payer-Nid-Michigan City | $1,916 |
| United Medical Resources [1158] | UHC All Payer-Nid-Michigan City | $1,916 |
| United Medical Resources [1301] | UHC All Payer-Nid-Michigan City | $1,916 |
| Managed Care [2000] | UHC All Payer-Nid-Michigan City | $1,916 |
| Commercial [2001] | UHC All Payer-Nid-Michigan City | $1,916 |
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