CT head without contrast at IU Health Ball Memorial Hospital. CPT 70450.
What IU Health Ball Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$189cash price (self-pay)
$889list price
$111–$800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Managed Medicare | $111 |
| Health Alliance | HMO/PPO Managed Medicare | $111 |
| Indiana University Health | All Managed Medicare | $111 |
| Elevance Health | All Managed Medicare - Out of network | $111 |
| Elevance Health | All Managed Medicare - In network | $111 |
| Zing Health | All Managed Medicare | $111 |
| Wellcare by Allwell | All Managed Medicare | $113 |
| Humana | All Managed Medicare PPO | $113 |
| United Healthcare | ASO | $150 |
| Caresource | All Marketplace Plans | $167 |
| Ambetter | All HMO Marketplace Plans | $183 |
| Managed Health Services | All Government Medicaid | $221 |
| United Healthcare | All Managed Medicaid | $221 |
| Caresource | All Managed Medicaid | $221 |
| Caresource | All Government Medicaid HIP | $221 |
| Elevance Health | All Government Medicaid HIP | $221 |
| Managed Health Services | All Government Medicaid HIP | $221 |
| Elevance Health | All Managed Medicaid | $221 |
| SIHO Insurance Services | ASO - Smithville | $278 |
| Encore Health Network | EPO - Elite+ Plans | $278 |
| Aetna | POS - Cox Medical Plans | $725 |
| Aetna | PPO/POS | $725 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $725 |
| Cigna | HMO - Open Access | $725 |
| Aetna | HMO - Coventry Plans | $725 |
| Aetna | PPO - IN Preferred | $725 |
| SIHO Insurance Services | PPO - Union Health | $725 |
| Cigna | PPO | $725 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $725 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $725 |
Inpatient
$205cash price (self-pay)
$968list price
$205–$871range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $205 |
| SIHO Insurance Services | PPO - Union Health | $397 |
| Aetna | PPO - IN Preferred | $444 |
| Aetna | POS - Cox Medical Plans | $444 |
| Cigna | PPO - New Business | $445 |
| Community Health Direct | HMO - LaPorte Regional Plans | $571 |
| Parkview Health | HMO - Employee Plans | $598 |
| Unified Group Services | HMO | $600 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $603 |
| Aetna | PPO/POS | $604 |
| Aetna | HMO - Coventry Plans | $604 |
| Community Health Direct | HMO - ProHealth Plans | $678 |
| Lutheran Health Network | All Managed Care | $678 |
| Parkview Health | EPO | $698 |
| Aetna | PPO - NAP | $753 |
| Aetna | PPO - First Health | $753 |
| Indiana Health Network (IHN) | All Managed Care | $762 |
| SIHO Insurance Services | HMO/POS Plans | $765 |
| Encore Health Network | PPO | $774 |
| Lutheran Preferred | All PPO Plans | $774 |
| Parkview Health | PPO | $798 |
| SIHO Insurance Services | All PPO Plans | $813 |
| Multiplan | PPO - PHCS Private Healthcare Plans | $823 |
| Multiplan | PPO - Multiplan Plans | $871 |
| Community Health Alliance | PPO | $871 |
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